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DEATH
CERTIFICATE
Jordan Smith
Cert: #5111
Name: Jordan Smith
Male, White, Widowed
Age: 59y 11m 18d
Occupation: W.P.A. Work
Place of Death: Dwarf, Perry Co., Ky
Birth Date: 10 feb 1878
Place of Birth: Perry Co., Ky
Spouse: Blank
Father: Dick Combs, Ky
Mother: Rachel Smith, Ky
Informant: Silas Stacy, Dwarf, Ky
Death Date: 18 Jan 1938
Cause of Death: Acute Indigestion
Signed: No Doctor attended
Burial Place: Ary, Ky
Undertaker: None
File Date: 21 March 1938
Transcribed by John F. "Freddie" Wilson
21 May 2005
Father, Dick Combs Unknown; Mother, Rachel Smith d/o Isaac
Smith & Cynthia Stacy; Jordan married 3 times;1. Unknown; 2.
Elsa Stacy; 3. Eva Fugate. |
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