Date: 18 February 1946
Cert: 06990
Place of Death: County: Knott City or
Town: Softshell, Ky. Rural
Street Number or Location: At own home
Length of stay in hospital or community: 01 hr.
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Softshell - Rural If rural give
precinct: Upper Ball
Full Name: Lucile SMITH
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 18 February 1946
Age: 01 hour
Birthplace: Softshell, Ky., Knott Co.
Occupation: none
Industry or business: none
Father Name: Edgar SMITH
Father Birthplace: Softshell, Ky.
Mother Maiden Name: Nancy Lee TRIPLETT
Mother Birthplace: Hazard, Ky., Perry Co.
Informant: Nancy Lee SMITH, Soft Shell, Ky.
Burial Place: Softshell, Ky.
Date: 19 February 1946
Signature of funeral director: none
Date received by local registrar: 19 March 1946
Registrar's Signature: Mrs. Rose B. Craft
Date of Death: 18 February 1946
I hereby certify that I attended deceased from 18 February
1946 to
18 February 1946, that I last saw her alive on 18 February
1946, and that death
occurred on the date stated above at 10 a.m.
Immediate cause of death: Flu
Duration: 03 weeks
Due to: Mother having severe Flu
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: Mark Dempsey, M.D., Garrett
Date signed: 18 March 1946
Transcribed by Debbie Tamborski, 15 December 2010 |