Date:  17 June 1949
Cert:  16791 
Place of Death: County: Knott      City or Town: Softshell
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town: Softshell     Street Address: (blank)
Full Name:  Nancy SMITH
Date of Death:  17 June 1949
Sex, Color or Race, Marital Status: Female, White, Widowed
Date of Birth:  14 September 1856
Age:  93 years
Usual Occupation: (blank)
Kind of Industry or business: (blank)
Birthplace:  Perry County, Ky.
Father's Name:  Richard SPARKMAN
Mother's Maiden Name:  Sarah SPARKMAN
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  Mrs. Jane COMBS
Disease or condition directly leading to death:  (blank)
Interval between onset and death:  (blank)
Due to:  Pneumonia
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy:  No
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from (blank) to (blank), that I last saw the deceased alive on (blank), and that death occurred at (blank), from the causes and on the date stated above.
Date signed:  31 August 1949
Address:  Hindman, Ky.
Signature:  J. W. Duke, M.D.
Burial, Cremation or Removal:  Burial
Date:  18 June 1949
Name of Cemetery or Crematory:  Terry Fork Cem.
Location:  Softshell, Ky.
Date received by local registrar: 31 August 1949
Registrar's Signature:  Rose B. Craft
Funeral director & address:  G. D. Ryan, Martin, Ky.
Transcribed by Debbie Tamborski, 08 January 2011