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 |
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