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DEATH
CERTIFICATE
SUSAN B. SMITH
Date 11 January 1920
Cert: # 01675
Name: Susan B. SMITH
Place of Death: Voting Pct. Hindman, Knott Co., KY
Female, White
Birth Date: 03 March 1869
Age: 52 years, 10 months, 01 days
Occupation: Housewife
Place of Birth: Kentucky
Name of Father: Humphry AMBURGY
Birthplace Father: Kentucky
Maiden Name of Mother: Nancy MULLINS
Birthplace Mother: Virginia
Informant: (blank)
Death Date: 11 January 1920
Cause of Death: Malignant sarcoma of the left breast
Signed: M. F. Kelley, M.D.
Burial Place: J. B. Smith Cemetery
Date of Burial: 12 January 1920
Undertaker: J. B. Smith, Brinkley, Ky.
File Date: (blank)
Transcribed by Debbie Tamborski, 16 February 2009 |
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