DEATH CERTIFICATE
MANDER SMITH

Date  05 August 1921
Cert: #  20006 
Name:  Mander SMITH 
Place of Death: Voting Pct. Pinetop, Knott Co., KY
Male, White, Single
Birth Date:  03 July 1890
Age:  31 years, 01 months, 02 days
Occupation:  Farmer
Place of Birth:  Kentucky
Name of Father:  Major B. SMITH 
Birthplace Father:  Kentucky 
Maiden Name of Mother:  Darkie AMBURGEY
Birthplace Mother:  Ky. 
Informant:  M. F. KELLY, Hindman
Death Date:  05 August 1921 
Cause of Death:  Tuberculosis of the bowels 
Signed:  M. F. Kelley, M.D.
Burial Place:  Amburgey Cemetery 
Date of Burial:  06 August 1921 
Undertaker:  Vince B. Smith, Pinetop, Ky. 
File Date:  10 June 1921 
Transcribed by Debbie Tamborski, 18 February 2009