DEATH CERTIFICATE

MANCIE SMITH

Date 29 May 1932
Cert: #  21828
Name:  Mancie SMITH
Place of Death: Voting Pct. Smithboro, Knott Co., KY
Residence:  Smithboro, Ky.
Male, White, Married now dead
Husband or Wife of:  Nancy SMITH his wife now unmarried
Birth Date:  17 August 1901
Age: 30 years, 09 months, 12 days
Occupation:  Farmer
Place of Birth: Smithsboro, Ky.
Name of Father:  Hilliard SMITH
Birthplace Father:  Knott County, Ky.
Maiden Name of Mother:  Melda COMBS
Birthplace Mother:  (blank)
Informant:  Melda SMITH, Sassafras, Ky.
Death Date:  29 May 1932
Cause of Death:  Empyemia
Signed: B. B. Baker, M.D., Sassafras, Ky.
Burial Place:  Combs Cem.
Date of Burial:  (blank)
Undertaker:  McKinley Smith, Smithboro
File Date:  17 October 1932
Transcribed by Debbie Tamborski, 07 July 2009