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DEATH
CERTIFICATE
JOHN D. SMITH
Date 05 May 1928
Cert: Duplicate # 13122 Original # 13120
Name: John D. SMITH
Residence Elic, Ky.
Place of Death: Voting Pct. #16, Knott Co., KY
Male, White, Married
Husband or Wife of: Marget SMITH
Birth Date: (blank)
Age: 44 years
Occupation: Farming
Place of Birth: Ky.
Name of Father: Manford SMITH
Birthplace Father: Ky.
Maiden Name of Mother: Susan JENT
Birthplace Mother: Ky.
Informant: (blank)
Death Date: 05 May 1928
Cause of Death: Pneumony [sic]
Signed: Susan Smith, M.D.
Burial Place: J. R. Kelley
Date of Burial: 06 May 1928
Undertaker: (blank)
File Date: (blank)
Transcribed by Debbie Tamborski, 18 February 2009
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