Date: 30 December 1943
Cert: 07531
Place of Death: County: Knott City or
Town: Anco, Ky.
Street No. or Location: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural Anco,
Ky.
Full Name: Philas 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: (blank)
Birth date of deceased: (blank)
Age: 47 years
Birthplace: Knott Co., Ky.
Occupation: Coal Miner
Industry or business: (blank)
Father Name: Randolph SMITH
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Susan AMBURGEY
Mother Birthplace: Knott Co., Ky.
Informant: A. J. SMITH, Anco, Ky.
Burial Place: Brinkley, Ky.
Date: 01 January 1944
Signature of funeral director: Engles, Hazard, Ky.
Date received by local registrar: 25 January 1944
Registrar's Signature: Ida Livingston
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 (in mine)
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: Accident
Date of occurrence: 30 December 1943
Where did injury occur: In mine
While at work: Yes
Means of injury: (blank)
Signature & Address: J. R. Aker, M.D., Anco, Ky.
Date signed: 17 March 1944
Transcribed by Debbie Tamborski, 25 October 2010 |