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DEATH
CERTIFICATE
JOHN V. SMITH
Date 15 December 1938
Cert: 30841
Name: John V. SMITH
Place of Death: Voting Pct. 3A, Knott Co., KY
Residence: Cody, Ky.
Length of residence: (blank)
Male, White, Married
Husband or Wife of: Callie BLAIR
Birth Date: 22 October 1894
Age: 44 years, 01 months, 24 days
Occupation: Farmer
Place of Birth: Knott Co.
Name of Father: W. M. SMITH
Birthplace Father: Ky.
Maiden Name of Mother: Matilda AMBURGY
Birthplace Mother: Ky.
Informant: W. M. SMITH, Smithboro, Ky.
Death Date: 15 December 1938
Cause of Death: Paralysis
Signed: Guy C. Pinckley, M.D., Anco, Ky.
Burial Place: Cody, Ky.
Date of Burial: (blank)
Undertaker: (blank)
File Date: 26 December 1938
Registrar: Henry Blair
Transcribed by Debbie Tamborski, 01 November 2009 |
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