DEATH CERTIFICATE

(Stillbirth) SMITH

Date  25 July 1917
Cert: # 20227
Name: (Stillbirth SMITH)
Male, White
Age: Stillbirth
Place of Death: Voting Precinct #6, Knott Co., KY
Birth Date:  25 July 1917
Occupation:  (blank)
Place of Birth:  Knott Co., Ky.
Name of Father:  Wm. Kinley SMITH
Birthplace Father:   Knott Co., Ky. 
Maiden Name of Mother:  Ciss CALHOUN
Birthplace Mother:  Knott Co., Ky. 
Informant:  Geo. JENT, Smithsboro, Ky.
Death Date:  25 July 1917
Cause of Death:  Cause not known
Signed:  Melda Smith, Midwife
Burial Place:  Spencer Combs
Date of Burial:  25 July 1917
Undertaker:  Wm. Kinley Smith, Smithsboro, Ky.
File Date:  25 July 1917
Transcribed by Debbie Tamborski, 22 November 2008