Date:  28 February 1951
Cert:  05494 
Place of Death: County: Knott      City or Town: Amburgey, Ky.
Length of stay (in this place): (blank)
Street address or location:  Rural
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town:  Amburgey  Rural   If rural give precinct: (blank)
Full Name:  Nancy SMITH
Date of Death:  28 February 1951
Sex, Color or Race, Marital Status: Female, White, Widowed
Date of Birth:  28 November 1903 
Age:  47 years, 03 months, 00 days
Usual Occupation:  Housewife
Kind of Industry or business: own Home
Birthplace:  Kentucky
Father's Name:  Davis FRANKLIN
Mother's Maiden Name:  Mary GENT
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  Bennett SMITH
Disease or condition directly leading to death: Acute Hemophlegia
Interval between onset and death:  (blank)
Due to:  (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy:  (blank)
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 28 February 1951 to (blank), that I last saw the deceased alive on 28 February 1951, and that death occurred at (blank), from the causes and on the date stated above.
Date signed:  22 March 1951
Address:  Kodak, Ky.
Signature:  H. P. Duff, M.D.
Burial, Cremation or Removal:  Burial
Date:  02 March 1951
Name of Cemetery or Crematory:  Smithsboro Cem.
Location:  Knott Co., Ky.
Date received by local registrar: 28 March 1951
Registrar's Signature:  Rose B. Craft
Funeral director & address:  Maggard and Garrett, Hazard, Ky.
Transcribed by Debbie Tamborski, 21 January 2011