DEATH CERTIFICATE

SIDNEY BARNES SMITH

Date:    18 July 1945
Cert:    15252 
Place of Death: County: Knott   City or Town: Rural - Smithsboro, Ky.
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: Flax Patch 09 months
Usual Residence of Deceased: State: Kentucky  County: Knott
City or Town:  Rural     If rural give precinct:  Smithsboro 
Full Name:  Sidney Barnes SMITH 
If Veteran Name War: (blank)
Social Security No.:  (blank)
Sex, Color or Race, Marital Status: Male, White, Widowed
Husband or Wife of:  Alice SMITH
Age of husband or wife if alive: (blank)
Birth date of deceased:   14 October 1869
Age:  75 years, 09 months, 04 days
Birthplace:  Smithboro, Ky. 
Occupation:  Farming 
Industry or business:  (blank)
Father Name:  Jerry SMITH 
Father Birthplace:  Smithboro, Ky. 
Mother Maiden Name:   Betty STACY 
Mother Birthplace:   Sassafras, Ky. 
Informant:  Nord MOORE, Amburgey, Ky. 
Burial Place:   Smithsboro, Ky. 
Date:   18 July 1945 
Signature of funeral director: None - Friends, Smithsboro, Ky.
Date received by local registrar:  24 July 1945 
Registrar's Signature: Rose B. Craft
Date of Death:  18 July 1945 
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:  Cancer of Stomach 
Duration: (blank)
Due to:  (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work:  (blank)
Means of injury: (blank)
Signature & Address:  J. R. Aker, M.D., Anco, Ky.
Date signed:  20 July 1945 
Transcribed by Debbie Tamborski, 30 November 2010