DEATH CERTIFICATE

ROBERT WARREN SMITH

Date:  27 January 1950
Cert:  03214 
Place of Death: County: Knott      City or Town: Rural
Length of stay (in this place): All of life
Street address or location:  Leburn, Ky.
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town:  Rural   If rural give precinct:  Leburn, Ky.
Full Name:  Robert Warren SMITH
Date of Death:  27 January 1950
Sex, Color or Race, Marital Status: Male, White, Never Married
Date of Birth:  27 February 1943
Age: 06 years
Usual Occupation: None
Kind of Industry or business: None
Birthplace:  Knott Co., Ky.
Father's Name:  John SMITH
Mother's Maiden Name:  Eva COMBS
Was deceased ever in armed forces: (blank)
Social Security No.:  None
Informant:  John SMITH
Disease or condition directly leading to death: Hodgkins Disease
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 15 January 1950 to 27 January 1950, that I last saw the deceased alive on 27 January 1950, and that death occurred at 9:00 a.m., from the causes and on the date stated above.
Date signed:  02 February 1950
Address:  Hindman, Ky.
Signature:  M. F. Kelley
Burial, Cremation or Removal:  Burial
Date:  29 January 1950
Name of Cemetery or Crematory:  Watts
Location:  Garner, Ky.
Date received by local registrar: 07 January 1950 (transcribed as written)
Registrar's Signature: Rose B. Craft
Funeral director/address: Hindman Funeral Home, Hindman, Ky.
Transcribed by Debbie Tamborski, 17 January 2011