DEATH CERTIFICATE

JOHN B. SMITH, JR.

Date  21 July 1911
Deathvol 
Vol:   1911
Cert: # 18660
Name: John B. SMITH, Jr.
Male, White, Single
Age: 15 years
Place of Death: Voting Pct No. #3, Knott Co., KY
Birth Date:  1894
Place of Birth:  Knott Co., KY
Father:  William B. SMITH
Mother:  Nancy STUART
Informant:  Not Listed
Death Date:  21 July 1911
Cause of Death:  Septicemia
Signed:   Owen Pigman, M.D.
Burial Place:  Amburgey G.W.
Undertaker:  Not Listed
File Date:  25 July 1911
Transcribed by Debbie Tamborski, 3 May 2008