DEATH CERTIFICATE

LOIS FOISTER SMITH

Date    16 December 1914
Deathvol Vol:   1914
Cert: #  32200
Name:  Lois Foister SMITH
Male, White, Child
Age:  2 years, 10 months, 2 days
Place of Death: Voting Pct. No. 6, Knott Co., KY
Birth Date:  14 February 1912                           
Place of Birth:  Smithsboro, Ky.
Father:  John D. SMITH                                                  Birthplace Father:  Knott Co., Ky.
Mother:  Bettie SMITH                                                      Birthplace Mother:  Knott Co., Ky.
Informant:  John FRANCIS, Smithsboro, Ky.
Death Date:  16 December 1914
Cause of Death:  Diphtheria
Signed:  Rich Duke, M.D.
Burial Place:  Shade Smiths
Undertaker:  John D. Smith, Smithsboro, Ky.
File Date: 17 December 1914
Transcribed by Debbie Tamborski, 28 July 2008