DEATH CERTIFICATE

PHENA SMITH

Date:  11 January 1954
Cert:  #16294 
Place of Death: County: Knott     City or Town: Softshell, Ky. Rural
Length of stay (in this place): Life
Street address or location:  Pt. died at home on Softshell
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town:  Softshell  Rural     If rural give location: On Head of Ball's Fork
Full Name:  Phena SMITH
Date of Death:  11 January 1954 
Sex, Color or Race, Marital Status: Female, White, Married
Date of Birth:  17 September 1888 
Age:   65 years
Usual Occupation:  Housewife
Kind of Industry or business: Home
Birthplace:  Ky. 
Father's Name:   W. B. PRATT
Mother's Maiden Name:  Lucy MAGGARD 
Was deceased ever in armed forces: No
Social Security No.:  (blank)
Informant:  Chester SMITH 
Disease or condition directly leading to death: Disease of heart
Interval between onset and death:  (blank)
Due to:  (blank)
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 10 January 1954 to 10 January 1954, that I last saw the deceased alive on 10 January 1954, and that death occurred at 11 p.m., from the causes and on the date stated above.
Date signed:  27 January 1954
Address:  Hindman, Ky.
Signature:  M. F. Kelly, M.D.
Burial, Cremation or Removal: Burial
Date:  13 January 1954
Name of Cemetery or Crematory: Family Cemetery
Location:  Leburn, Ky.
Date received by local registrar: 03 February 1954
Registrar's Signature: Mrs. Rose B. Craft
Funeral director & address:  John Taul, Hindman, Ky.
Transcribed by Debbie Tamborski, 12 March 2011