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DEATH
CERTIFICATE
JOHN SMITH
Date 06 May 1917
Cert: # 22970
Name: John SMITH
Male, White, Married
Age: 61 years, 06 months, 05 days
Place of Death: Voting Precinct #9, Knott Co., KY
Birth Date: 11 November 1856
Occupation: Farmer
Place of Birth: Knott Co., Ky.
Name of Father: Simeon SMITH
Birthplace Father: Kentucky
Maiden Name of Mother: Annie TERRY
Birthplace Mother: Knott Co., Ky.
Informant: Nancy GAYHEART, Vest, Ky.
Death Date: 06 May 1917
Cause of Death: Paralysis
Signed: J. W. Duke, M.D.
Burial Place: Terry Graveyard
Date of Burial: (blank)
Undertaker: (blank)
File Date: 24 July 1917
Transcribed by Debbie Tamborski, 22 November 2008 |
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