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DEATH
CERTIFICATE
MARTHA SMITH
Date 25 May 1919
Cert: # 16622
Name: Martha SMITH
Female, White, Married
Age: 43 years, 01 months, 15 days
Place of Death: Voting Precinct Pippapass, Knott Co., KY
Birth Date: 10 April 1876
Occupation: Housewife
Place of Birth: Kentucky
Name of Father: Tom HONEYCUT
Birthplace Father: Kentucky
Maiden Name of Mother: Polley REYNOLDS
Birthplace Mother: Kentucky
Informant: (blank)
Death Date: 25 May 1919
Cause of Death: Pulmonary tuberculosis of the lungs
Signed: M. F. Kelley, M.D.
Burial Place: Reynolds Cemetery
Date of Burial: 26 May 1919
Undertaker: John Smith, Pippapass, Ky.
File Date: June 1919
Transcribed by Debbie Tamborski, 22 November 2008 |
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