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DEATH
CERTIFICATE
THOMAS SMITH
Date 25 July 1915
Cert: 26021
Place of Death: Voting Precinct: (illegible), Letcher
Co., Ky.
Full Name: Thomas SMITH
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 1883
Age: 32 years
Occupation: Timber cutter
Birthplace: Knott Co., Ky.
Name of Father: John COMBS
Birthplace Father: Ky.
Maiden name of Mother: Nellie SMITH
Birthplace Mother: Ky.
Informant/Address: (blank)
Filed: 05 December 1915
Registrar: Stephen Blair
Death Date: 25 July 1915
I hereby certify that I attended deceased from 24 July 1915, to
25 July 1915, that I last saw him alive on 25 July 1915, and
that death occurred, on the date stated above, at 1 p.m.
Cause of Death: Traumatism a limb hit him in the head
while cutting timber
Duration: 01 day
Contributory: (blank)
Signed/Address: D. F. Smith, M.D., 26 November 1915,
Whitesburg, Ky.
Length of residence where disease contracted: (blank)
Former or usual residence: (blank)
Place of Burial or Removal: (blank)
Date of Burial: (blank)
Undertaker/Address: (blank)
Transcribed by Debbie Tamborski, 26 February 2010 |
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