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DEATH
CERTIFICATE
W. M. B. SMITH
Date 31 December 1916
Cert: # 30984
Name: W. M. B. SMITH
Male, White, Married
Age: 65 years
Place of Death: Voting Precinct #2, Knott Co., KY
Birth Date: (blank)
Occupation: Farmer
Place of Birth: Ky.
Name of Father: Andrew B. SMITH
Birthplace Father: Ky.
Maiden Name of Mother: Tena PIGMAN
Birthplace Mother: Ky.
Informant: (blank)
Death Date: 31 December 1916
Cause of Death: Brights disease
Signed: M. F. Kelley, M.D.
Burial Place: G. W. Amburgeys
Date of Burial: 01 January 1917
Undertaker: (blank)
File Date: 10 January 1917
Transcribed by Debbie Tamborski, 22 November 2008 |
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