DEATH CERTIFICATE

JOHN B. SMITH

Date  28 July 1916
Cert: #  18601
Name:  John B. SMITH
Male, White, Single
Age: Born dead
Place of Death: Voting Precinct #2 Redfox, Knott Co., KY
Birth Date:  28 July 1916
Occupation:  (blank)
Place of Birth:  Knott County, Ky.
Name of Father:  William B. SMITH 
Birthplace Father:  Knott Co.
Maiden Name of Mother:  Susie COMBS
Birthplace Mother:  Knott Co.
Informant:  Rachel AMBURGEY, Spider, Ky.
Death Date:  28 July 1916
Cause of Death:  Exposure of mother
Signed:  Rachel Amburgey, M.D.
Burial Place:  Knott County
Date of Burial:  29 July 1916
Undertaker:  Rachel Amburgey
File Date:  (blank)
Transcribed by Debbie Tamborski, 22 November 2008