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DEATH
CERTIFICATE
MERTIE B. SMITH
Date 23 September 1916
Cert: # 23644
Name: Mertie B. SMITH
Female, White
Age: (blank)
Place of Death: Voting Precinct #1 Leburn, Knott Co., KY
Birth Date: 23 September 1916
Occupation: (blank)
Place of Birth: Knott
Name of Father: James B. SMITH
Birthplace Father: Knott
Maiden Name of Mother: Bettie WATTS
Birthplace Mother: Knott
Informant: Sallie WATTS, Leburn
Death Date: 23 September 1916
Cause of Death: unknown
Signed: (blank)
Burial Place: (blank)
Date of Burial: (blank)
Undertaker: (blank)
File Date: 05 October 1916
Transcribed by Debbie Tamborski, 22 November 2008 |
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