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DEATH
CERTIFICATE
ORVAL SMITH
Date 14 November 1922
Cert: # 24868
Name: Orval SMITH
Place of Death: Voting Pct. #16, Knott Co., KY
Male, White, Single
Birth Date: 1922
Age: 09 months
Occupation: non
Place of Birth: Ky.
Name of Father: John D. SMITH
Birthplace Father: Ky.
Maiden Name of Mother: Marthey SMITH
Birthplace Mother: Ky.
Informant: Tad COMBS, Elic, Ky.
Death Date: 14 November 1922
Cause of Death: Croup
Signed: R. L. Kelley, M.D.
Burial Place: Mart Gayhart
Date of Burial: 15 November 1922
Undertaker: (blank)
File Date: (blank)
Transcribed by Debbie Tamborski, 19 February 2009 |
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