DEATH CERTIFICATE

 WM SMITH

Date:   08 November 1943
Cert:   15255 
Place of Death: County: Knott  City or Town: Smithboro (Rural)
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky   County: Knott
City or Town:  Smithsboro     Rural
Full Name:  WM SMITH
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White
Husband or Wife of:  Matilda SMITH
Age of husband or wife if alive:  76 years
Birth date of deceased:  11 October 1861
Age: 82 years, 00 months, 27 days
Birthplace:  Knott
Occupation:  Farmer
Industry or business: (blank)
Father Name:  Jerry SMITH
Father Birthplace:  Knott
Mother Maiden Name:  Ranie STAMPER
Mother Birthplace:  Knott
Informant:  Mrs. Geo. OWENS, Jr., Smithboro, Ky.
Burial Place: Smithboro, Ky. 
Date:  10 November 1943
Signature of funeral director: None - Family, Smithsboro, Ky.
Date received by local registrar:  20 February 1945
Registrar's Signature:  Rose B. Craft acting Per B. Carns
Date of Death:  08 November 1943
I hereby certify that I attended deceased from (blank) to (blank), that I last saw him alive on (blank), and that death occurred on the date stated above at (blank)
Immediate cause of death: Apoplexy
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: J. R. Aker, M.D., Anco, Ky.
Date signed:  20 February 1945
Transcribed by Debbie Tamborski, 27 October 2010

* Per JB Francis--Father should read Thomas SMITH--Mother should read Louraina FRANCIS