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DEATH
CERTIFICATE
MELDORA SMITH
Date 17 December 1923
Cert: # 31088
Name: Meldora SMITH
Place of Death: Voting Pct. #1 Hindman, Knott Co., KY
Female, White
Birth Date: 17 December 1923
Age: Stillbirth
Occupation: (blank)
Place of Birth: Knott Ky.
Name of Father: Sam SMITH
Birthplace Father: Knott Ky.
Maiden Name of Mother: Bertha HALL
Birthplace Mother: Knott Ky.
Informant: Sam SMITH
Death Date: 17 December 1923
Cause of Death: (blank)
Signed: Nancy Fugate, M.D.
Burial Place: Clear Creek grave
Date of Burial: 06 January 1924
Undertaker: (blank)
File Date: 05 January 1924
Transcribed by Debbie Tamborski, 18 February 2009 |
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