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DEATH
CERTIFICATE
JOHN D. SMITH
Date 03 May 1928
Cert: Original # 13120 Duplicate
# 13122
Name: John D. SMITH
Place of Death: Voting Pct. #16 Elic, Knott Co., KY
Male, White, Widowed
Husband or Wife of: Margarett SMITH
Birth Date: 02 April 1894
Age: 34 years, 01 months, 01 days
Occupation: Farmer
Place of Birth: Knott Co., Ky.
Name of Father: Martin SMITH
Birthplace Father: Ky.
Maiden Name of Mother: Sussan JENT
Birthplace Mother: Ky.
Informant: (blank)
Death Date: 03 May 1928
Cause of Death: Atrophic cirrosis of the liver
Signed: M. F. Kelly, M.D.
Burial Place: Kelleys Cemetery
Date of Burial: 04 May 1928
Undertaker: Bill Smith, Elic, Ky.
File Date: (blank)
Transcribed by Debbie Tamborski, 18 February 2009
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