Date:    06 October 1948
Cert:    21273
Place of Death: County: Knott  City or Town: Lackey, Kentucky
Name of Hospital or Institution: Stumbo Memorial Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky   County: Knott
City or Town:  Lackey
Full Name:  Rosie SMITH 
If Veteran Name War: (blank)
Social Security No.:  (blank)
Sex, Color or Race, Marital Status: Female, White, Married 
Husband or Wife of:  John B. SMITH
Age of husband or wife if alive: sixty eight years
Birth date of deceased:  18 January 1887 
Age:  61 years, 08 months, 18 days
Birthplace:  Mousie, Kentucky
Occupation:  House wife 
Industry or business:  (blank)
Father Name: Charles STURGILL 
Father Birthplace:  Mousie, Ky.
Mother Maiden Name:  Francis THOMAS 
Mother Birthplace:  Mousie, Ky.
Informant:  (blank)
Burial Place:   Mousie, Ky.
Date:  09 October 1948 
Signature of funeral director:  G. D. Ryan, Martin, Ky.
Date received by local registrar: 20 October 1948
Registrar's Signature:  Rose B. Craft By L. Roth
Date of Death:  06 October 1948 
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:  Hemorrhage
Duration: (blank)
Due to:  Severed subclavian vein
Major findings of operations: (blank)
Accident, suicide, or homicide: Accident
Date of occurrence:  06 October 1948
Where did injury occur: On highway
While at work:  No
Means of injury:  Truck hit her
Signature & Address:  C. M. Aker, M.D., Lackey, Ky.
Date signed:  18 October 1948
Transcribed by Debbie Tamborski, 29 December 2010