DEATH CERTIFICATE

RUBY ELISABETH SMITH

Date  19 December 1917
Cert: #  33795
Name:  Ruby Elisabeth SMITH
Girl, White, Single
Age:  01 days
Place of Death: Voting Precinct #5, Knott Co., KY
Birth Date:  17 December 1917
Occupation:  non
Place of Birth:  Knott Co., Ky.
Name of Father:  John D. SMITH
Birthplace Father:  Ky.
Maiden Name of Mother:  Marget MULLINS
Birthplace Mother:  Ky.
Informant:  Nancey YOUNG, Elic, Ky.
Death Date:  19 December 1917
Cause of Death:  the birth of child
Signed:  Matilda Evridg, M.D.
Burial Place:  R. B. Young
Date of Burial:  20 December 1917
Undertaker:  19 December 1917
File Date:
Transcribed by Debbie Tamborski, 22 November 2008