DEATH CERTIFICATE

(Stillbirth) SMITH

Date  15 April 1927
Cert: #  11374 
Name:  (Stillbirth) SMITH
Place of Death: Voting Pct. #16, Knott Co., KY
White, Single
Birth Date:  15 April 1927
Age:  Stillbirth
Occupation:  non 
Place of Birth:  Ky.
Name of Father:  Joe SMITH 
Birthplace Father:  Ky. 
Maiden Name of Mother:  Larence YOUNG
Birthplace Mother:  Ky. 
Informant:  Joe SMITH, Elic, Ky.
Death Date:  15 April 1927 
Cause of Death:  Week woman 
Signed:  Susan SMITH, M.D.
Burial Place:  J. R. Kelley 
Date of Burial:  16 April 1927 
Undertaker:  (blank) 
File Date:  (blank) 
Transcribed by Debbie Tamborski, 18 February 2009