DEATH CERTIFICATE

L. B. SMITH

Date  03 July 1921
Cert: #  17874
Name:  L. B. SMITH
Place of Death: Voting Pct. #6, Knott Co., KY
Male, White, Child
Birth Date:  (blank) 
Age:  02 years, 10 months, 03 days
Occupation: (blank) 
Place of Birth:  Knott Co., Ky.
Name of Father:  John SMITH 
Birthplace Father:  Knott Co., Ky. 
Maiden Name of Mother:  Callie BLAIR
Birthplace Mother:  Knott Co., Ky. 
Informant:  John BLAIR, Cody, Ky.
Death Date:  03 July 1921 
Cause of Death:  Flux 
Signed:  J. D. Ison, M.D.
Burial Place:  Alamander Blair 
Date of Burial:  04 July 1921 
Undertaker:  John Smith, Cody, Ky. 
File Date:  04 July 1921 
Transcribed by Debbie Tamborski, 18 February 2009