DEATH CERTIFICATE

SHADE SMITH

Date  23 September 1939
Cert:  25526
Name:  Shade SMITH
Place of Death: Voting Pct. 3A B Creek, Knott Co., KY
Residence: Smithboro, Ky.
Length of residence: (blank)
Male, White, Married
Husband or Wife of:  Martha AMBURGEY 
Birth Date:  06 March 1854
Age: 85 years, 06 months, 07 days
Occupation:  Farmer
Place of Birth:  Knott Co.
Name of Father:  Jake SMITH
Birthplace Father:  Knott 
Maiden Name of Mother:  (blank) 
Birthplace Mother:  Knott 
Informant:  Martha SMITH, Smithboro, Ky.
Death Date:  23 September 1939 
Cause of Death:  Hart failier, fell dead [sic]
Signed:  (blank)
Burial Place:  Smithboro, Ky. 
Date of Burial:  24 September 1939 
Undertaker:  (blank)
File Date:  25 October 1939 
Registrar:  Henry Blair 
Transcribed by Debbie Tamborski, 21 November 2009