|
DEATH
CERTIFICATE
JOHN B. SMITH
Date 11 May 1931
Cert: # 20100
Name: John B. SMITH
Place of Death: Voting Pct. #15 Anco, Knott Co., KY
Male, White, Single
Husband or Wife of: Infant
Birth Date: (18 January scratched out) 1929
Age: 02 years, 03 months, 29days
Occupation: At. home
Place of Birth: (blank)
Name of Father: John S. SMITH
Birthplace Father: Ky.
Maiden Name of Mother: Martha NOBLE
Birthplace Mother: Ky.
Informant: John S. SMITH, Sassafras, Ky.
Death Date: 11 May 1931
Cause of Death: Died Suddenly, Cause unknown
Signed: Guy C. Pinckley, M.D.
Burial Place: Cordia, Ky.
Date of Burial: 12 May 1931
Undertaker: Willard K. Williams, Hazard, Ky.
File Date: 02 August 1931
Transcribed by Debbie Tamborski, 29 June 2009 |
|