Genealogy Pages for Northern Middle TN
Death Certificate for M. K. SMITH, Jr.
| Following is a transcription of the above
person's (TN) death certificate: Place of Death: County: Robertson, Civil Dist.: 2nd, Reg. Dist.: 47502 Primary Reg. Dist.: 47502, Reg. No.: 25 Full Name: M. K. SMITH, Jr. Sex: Male Race: White Marital Status: S Date of Birth: 07/31/1917 Age: 3 ds. Birthplace: Tenn. Name of Father: Marlin Kirby SMITH Birthplace of Father: Tenn. Maiden Name of Mother: Sarah Agis? EDEN Birthplace of Mother: Tenn. Informant: (blank) Filed: 08/03/1917 F. P. Kelly, Registrar Date of Death: 08/02/1917 The physician attended him from birth to death and last saw him alive on 08/01/1917 Cause of Death: Pyemic? infection Duration: 2 ds. Signed: G. R. Jones, M. D. Date: 08/02/1917 Address: Orlinda, Tenn. Place of Burial: (blank) Date of Burial: (blank) Undertaker: (blank) Address: (blank) |