DEATH CERTIFICATE

REBECCA SMITH

Date  04 April 1927
Cert: #  09107 
Name:  Rebecca SMITH
Place of Death: Voting Pct. #4 Elmrock, Knott Co., KY
Female, White, Widow
Birth Date:  01 April 1853 
Age:  74 years, 00 months, 03 days
Occupation:  (blank)
Place of Birth:  Ky.
Name of Father:  Ira ALLEN 
Birthplace Father:  Ky. 
Maiden Name of Mother:  Vina HOWARD
Birthplace Mother:  Ky. 
Informant:  Silas SMITH, Elmrock, Ky.
Death Date:  04 April 1927 
Cause of Death:  Pneumonia no physician attended 
Signed:  (blank)
Burial Place:  Patton Fork Cemetery 
Date of Burial:  05 April 1927 
Undertaker:  W. M. Compton, Elmrock, Ky. 
File Date:  06 April 1927 
Transcribed by Debbie Tamborski, 18 February 2009