DEATH CERTIFICATE

LULA SMITH

Date  26 June 1937
Cert:  16564
Name:  Lula SMITH
Place of Death: Voting Pct. #2, Knott Co., KY
Residence:  May, Ky.
Length of residence: (blank)
Female, White, Infant
Husband or Wife of:  Infant
Birth Date:  21 February 1937
Age:  04 months, 05 days
Occupation:  Infant
Place of Birth: Knott
Name of Father:  John B. SMITH
Birthplace Father:  Ky.
Maiden Name of Mother:  Edith RICHARDSON
Birthplace Mother:  Ky.
Informant:  H. BLAIR, Pinetop, Ky.
Death Date:  26 June 1937
Cause of Death:  Dirhea
Signed:  Pigmon Cemetery
Burial Place:  27 June 1937
Date of Burial:  (blank)
Undertaker:  (blank)
File Date:  02 July 1937
Registrar:  H. Blair
Transcribed by Debbie Tamborski, 04 October 2009