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DEATH
CERTIFICATE
(Stillbirth) SMITH
Date 06 May 1916
Cert: # 13475
Name: (Stillbirth) SMITH
Girl, White, Single
Age: (blank)
Place of Death: Voting Precinct #5, Knott Co., KY
Birth Date: 06 May 1916
Occupation: non
Place of Birth: Kentucky
Name of Father: Nathan SMITH
Birthplace Father: Kentucky
Maiden Name of Mother: Mertel CORNETT
Birthplace Mother: Kentucky
Informant: D. B. SMITH, Cordia, Ky.
Death Date: 06 May 1916
Cause of Death: Deformed
Signed: Saley B. Simson, M.D.
Burial Place: Ash B tree gap
Date of Burial: 06 May 1916
Undertaker: (blank)
File Date: May 1916
Transcribed by Debbie Tamborski, 22 November 2008 |
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