Date:  02 June 1940
Cert:  19748
Place of Death: County: Knott     City or Town: Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky   County: Knott
City or Town:  Rural
Full Name:  Leodis SMITH
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:  01 June 1940
Age: 01 days, 06 hours
Birthplace:  Decoy, Ky., Knott Co.
Occupation:  (blank)
Industry or business: (blank)
Father Name:  Chester SMITH
Father Birthplace:  Decoy, Ky., Knott Co.
Mother Maiden Name:  Tennie MESSER
Mother Birthplace:  Elliott Co., Ky.
Informant:  (blank)
Burial Place:  Decoy
Date:  03 June 1940
Signature of funeral director: (blank)
Date received by local registrar:  26 August 1940
Registrar's Signature:  Macie Miller
Date of Death:  02 June 1940
I hereby certify that I attended deceased from 01 June 1940 to 02 June 1940, that I last saw him alive on 02 June 1940, and that death occurred on the date stated above at 11 p.m.
Immediate cause of death:  Premature birth at 6 mos.
Duration: 02 days
Due to: Injury from fall by mother
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: in home
While at work: yes
Means of injury: fall
Signature & Address: Mark Dempsey, Hindman, Ky.
Date signed:  26 August 1940
Transcribed by Debbie Tamborski, 06 October 2010