DEATH CERTIFICATE

MAVIS STEWART

Date 11 December 1938
Cert:  30845
Name:  Mavis STEWART
Place of Death: Voting Pct. Up. Ball, Knott Co., KY
Residence: (blank)
Length of residence: (blank)
Female, White
Husband or Wife of:  (blank)
Birth Date:  09 November 1938 (transcribed as written)
Age: Ded borned [sic]
Occupation:  (blank) 
Place of Birth:  Vest, Ky.
Name of Father:   Thornton SMITH 
Birthplace Father:  Vest, Ky., Knott
Maiden Name of Mother:  Susie STEWART
Birthplace Mother:  Vest, Ky., Knott 
Informant:  (blank) Vest, Ky. 
Death Date:   11 December 1938
Cause of Death:  (blank)
Signed:  (blank)
Burial Place:  Vest 
Date of Burial:  11 December 1938 
Undertaker:  none
File Date:  24 December 1938 
Registrar:  J. D. Martin 
Transcribed by Debbie Tamborski, 01 November 2009