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DEATH
CERTIFICATE
(Stillbirth) SMITH
Date 28 August 1916
Cert: # 21166
Name: (Stillbirth) SMITH
Female, White, Infant
Age: Dead bornd [sic]
Place of Death: Voting Precinct Quicksand, Knott Co., KY
Birth Date: 28 August 1916
Occupation: (blank)
Place of Birth: Knott County, Ky.
Name of Father: Jack SMITH
Birthplace Father: Knott County
Maiden Name of Mother: Elizabeth Handshoe
Birthplace Mother: Floid [sic] County
Informant: Elizabeth Handshoe, Elmrock
Death Date: 28 August 1916
Cause of Death: (blank)
Signed: (blank)
Burial Place: (blank)
Date of Burial: (blank)
Undertaker: (blank)
File Date: 01 September 1916
Transcribed by Debbie Tamborski, 22 November 2008 |
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