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DEATH
CERTIFICATE
WILLIAM SMITH
Date 24 December 1923
Cert: 31806
Place of Death: Voting Precinct: Hazard Hospital,
Hazard, Perry Co., Ky.
Full Name: William SMITH
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: (blank)
Age: 45 years
Occupation: Deputy sheriff
Birthplace: Cordie, Knott County, Ky.
Name of Father: John COMBS
Birthplace Father: Kentucky
Maiden name of Mother: Millie SMITH
Birthplace Mother: Kentucky
Informant/Address: B. D. COMBS, Cordie, Ky.
Filed: 31 December 1923
Registrar: J. P. Boggs
Death Date: 24 December 1923
I hereby certify that I attended deceased from 24 December
1923, to
24 December 1923, that I last saw him alive on 24 December
1923, and that death occurred, on the date stated above, at 11
p.m.
Cause of Death: Shock (Homocide)
Duration: (blank)
Contributory: Loss of blood from gunshot wound
Signed/Address: Hoskins & Wheeler, M.D.s, 29 December
1923, Hazard, Ky.
Where was disease contracted if not at place of death: Glomawr,
Ky.
Former or usual residence: (illegible--?transit?)
Place of Burial or Removal: Cornett Hill Cemetery Diablock,
Ky.
Date of Burial: 26 December 1923
Undertaker/Address: W. G. Nicholson, Hazard
Transcribed by Debbie Tamborski, 20 March 2010 |
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