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DEATH
CERTIFICATE
MELVIN B. SMITH
Date 13 May 1921
Cert: # 10688
Name: Melvin B. SMITH
Place of Death: Voting Pct. #2, Knott Co., KY
Male, White
Birth Date: 1906
Age: 15 years
Occupation: (blank)
Place of Birth: Ky.
Name of Father: R. L. B. SMITH
Birthplace Father: Ky.
Maiden Name of Mother: Lucinda AMBURGEY
Birthplace Mother: Ky.
Informant: Elijah HALE, Redfox, Ky.
Death Date: 13 May 1921
Cause of Death: Tuberculosis
Signed: (blank)
Burial Place: Amburgey Cemetery
Date of Burial: 14 May 1921
Undertaker: (blank)
File Date: 10 June 1921
Transcribed by Debbie Tamborski, 18 February 2009 |
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