DEATH CERTIFICATE

(Stillbirth) SMITH

Date  28 October 1925
Cert: #  24793 
Name:  (Stillbirth) SMITH 
Place of Death: Voting Pct. #16, Knott Co., KY
Girl, White, Single
Birth Date:  28 October 1925
Age:  10 days
Occupation:  non
Place of Birth:  Ky.
Name of Father:  Philip SMITH 
Birthplace Father:  Ky. 
Maiden Name of Mother:  Silvey KEE
Birthplace Mother:  Ky. 
Informant:  (blank)
Death Date:  28 October 1925 
Cause of Death:  Exposure from the death of her child--Stillbirth
Signed:  Susan Smith, M.D.
Burial Place:  (blank) 
Date of Burial:  29 October 1925 
Undertaker:  (blank) 
File Date:  (blank) 
Transcribed by Debbie Tamborski, 19 February 2009