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DEATH
CERTIFICATE
RUSSELL SMITH
Date 18 September 1921
Cert: # 22201
Name: Russell SMITH
Place of Death: Voting Pct., Knott Co., KY
Male, White, Single
Birth Date: 1918
Age: 03 years
Occupation: (blank)
Place of Birth: Ky.
Name of Father: Sam SMITH
Birthplace Father: Ky.
Maiden Name of Mother: Nancey SINGELTON
Birthplace Mother: Knott
Informant: Boon SMITH, Richie, Ky.
Death Date: 18 September 1921
Cause of Death: Diptheria
Signed: J. P. Boggs, M.D.
Burial Place: (blank)
Date of Burial: 19 September 1921
Undertaker: (blank)
File Date: 03 November
Transcribed by Debbie Tamborski, 19 February 2009 |
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