Date:   30 December 1943
Cert:   02173
Place of Death: County: Knott     City or Town: Rural
Street No. or Location:  Anco, Ky.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town:  Rural     If rural, give precinct:  Anco, Ky.
Full Name:  Phelas B. SMITH
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of:  Icie SMITH
Age of husband or wife if alive:  39 years
Birth date of deceased:  (blank)
Age: 47 years
Birthplace:  Knott Co.
Occupation:  Coal Miner
Industry or business: (blank)
Father Name:  Randolph SMITH
Father Birthplace:  Knott Co.
Mother Maiden Name:  Susan SMITH AMBURGEY
Mother Birthplace:  Knott Co., Ky.
Informant:  A. J. SMITH, Anco, Ky.
Burial Place:  Brinkley
Date:  01 January 1944
Signature of funeral director: Engles, Hazard, Ky.
Date received by local registrar:  (blank)
Registrar's Signature:  (blank)
Date of Death:  30 December 1943
I hereby certify that I attended deceased from (blank) to (blank), that I last saw him alive on (blank), and that death occurred on the date stated above at (blank)
Immediate cause of death: Killed by being mashed under train motor
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: J. R. Aker, M.D., Anco, Ky.
Date signed:  21 January 1944
Transcribed by Debbie Tamborski, 25 October 2010