|
DEATH
CERTIFICATE
WILLEY B. SMITH JR.
Date 03 October 1921
Cert: # 24550
Name: Willey B. SMITH Jr.
Place of Death: Voting Pct. Hindman, Knott Co., KY
Male, White, Single
Birth Date: 03 October 1921
Age: 01 days
Occupation: none
Place of Birth: Knott Co., Ky.
Name of Father: John B. SMITH
Birthplace Father: Kentucky
Maiden Name of Mother: Matilda PIGMAN
Birthplace Mother: Kentucky
Informant: (blank)
Death Date: 03 October 1921
Cause of Death: Lobar pneumonia
Signed: M. F. Kelley, M.D.
Burial Place: Hays Cemetery
Date of Burial: 04 October 1921
Undertaker: John B. Smith, Hindman, Ky.
File Date: (blank)
Transcribed by Debbie Tamborski, 19 February 2009 |
|