DEATH CERTIFICATE

JOHN J. SMITH

Date 15 November 1930
Cert: #  27989
Name:  John J. SMITH
Place of Death: Voting Pct. #16, Knott Co., KY
Male, White, Married
Husband or Wife of:  Marthia SMITH
Birth Date:  1873
Age: 57 years
Occupation:  Farming
Place of Birth: Ky.
Name of Father:  William SMITH
Birthplace Father:  Ky.
Maiden Name of Mother: Elithabeth JENT
Birthplace Mother:  Ky.
Informant:  (blank)
Death Date:  15 November 1930
Cause of Death:  hart dropsy [sic]
Signed: (blank)
Burial Place:  (blank)
Date of Burial:  16 November 1930
Undertaker:  (blank)
File Date:  (blank)
Transcribed by Debbie Tamborski, 24 June 2009