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DEATH
CERTIFICATE
MILLER LUKINS SMITH
Date 18 July 1922
Cert: # 16123
Name: Miller Lukins SMITH
Place of Death: Voting Pct. #18 Upper Caney,
Pippapass, Knott Co., KY
Male, White, Single
Birth Date: 10 June 1917
Age: 05 years, 01 months, 08 days
Occupation: (blank)
Place of Birth: Knott
Name of Father: Jessie SMITH
Birthplace Father: Kentucky
Maiden Name of Mother: Nancy SHORT
Birthplace Mother: Kentucky
Informant: Fletcie SLONE, Pippapass, Ky.
Death Date: 18 July 1922
Cause of Death: Spinal meningitis
Signed: M. F. Kelley, M.D.
Burial Place: Short Cemetery
Date of Burial: 19 July 1922
Undertaker: Charley Short, Pippapass, Ky.
File Date: 10 August 1922
Transcribed by Debbie Tamborski, 18 February 2009 |
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