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DEATH
CERTIFICATE
JOHN S. SMITH
Date 03 August 1952
Cert: 16421
Place of Death: County: Fayette City or Town:
Lexington
Length of stay in hospital or community: 02 weeks
Name of Hospital or Institution: St. Joseph
Usual Residence of Deceased: State: Ky. County: Knott
City or Town: Rural Location:
Littcarr, Ky.
Full Name: John S. SMITH
Date of Death: 03 August 1952
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: unknown
Age: 48 years
Usual Occupation: Miner
Kind of Industry or business: Coal mining
Birthplace: Knott Co., Ky.
Father's Name: Hiram SMITH
Mother's Maiden Name: Nancy Ann GRIGSBY
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Carew SMITH
Disease or condition directly leading to death:
Neoplasm, cerebral, malignant type undet.
Interval between onset and death: several months
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: 31 July 1952
Major findings of operation: as above
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 22 July 1952 to
03 August 1952, that I
last saw the deceased alive on 03 August 1952, and that death occurred on
the date stated above at 11:15 p.m., from the causes and on the date
stated above.
Date signed: 04 August 1952
Address: Lex., Ky.
Signature: Ralph J. (illegible), M.D.
Burial, Cremation or Removal: Buried
Date: 06 August 1952
Name of Cemetery or Creamatory: Family Cemetery
Location: Knott Co., Ky.
Date received by local registrar: 12 August 1952
Registrar's Signature: D. A. Furlong
Funeral director and address: John N. Taul, Hindman, Ky.
Transcribed by Debbie Tamborski, 20 February 2010 |
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