DEATH CERTIFICATE

LULA B. SMITH

Date  27 June 1937
Cert:  28898
Name:  Lula B. SMITH
Place of Death: Voting Pct. #Upper Caney #18, Knott Co., KY
Residence:  May, Ky.
Length of residence: (blank)
Girl, White, Single
Husband or Wife of:  (blank)
Birth Date:  21 February 
Age:  04 months, 06 days
Occupation:  (blank)
Place of Birth: May, Ky.
Name of Father:  Jno. B. SMITH
Birthplace Father:  Pine Top
Maiden Name of Mother:  Edith B.
Birthplace Mother:  Pine Top
Informant:  (blank)
Death Date:  27 June 1937
Cause of Death:  Summer complaint
Signed:  (blank)
Burial Place:  (blank)
Date of Burial:  (blank)
Undertaker:  (blank)
File Date:  (blank)
Registrar:  (blank)
Transcribed by Debbie Tamborski, 04 October 2009