DEATH CERTIFICATE
UGENE SMITH

Date   02 December 1935
Cert:  30797 
Name:  Ugene SMITH
Place of Death: Voting Pct. Upper Ball, Knott Co., KY
Residence:  (blank) 
Length of residence: (blank) 
Girl, White, Single
Husband or Wife of: (blank) 
Birth Date:  02 December 1935
Age: 02 hours
Occupation:  (blank)   
Place of Birth:  Knott Co.
Name of Father:  Sam SMITH
Birthplace Father:  Knott Co., Ky. 
Maiden Name of Mother:  Ida SLONE
Birthplace Mother:  Knott Co. 
Informant:  Phebie SLONE, Leburn, Ky. 
Death Date:  02 December 1935 
Cause of Death:   Premature Birth 
Signed:  (blank) 
Burial Place:  Knott Co.
Date of Burial:  03 December 1935
Undertaker:  Sam Smith, Knott Co.
File Date:  15 December 1935
Transcribed by Debbie Tamborski, 18 August 2009