Death Certificate of Robert Smith, Yakima County, WA

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Transcribed and submitted by Marilyn Morgan 27 Sep 1999.
Both above notices must remain when copied or downloaded.

marilyn_morgan@msn.com

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CERTIFIED COPY OF DEATH CERTIFICATE--Washington State Board of Health-Bureau
of Vital Statistics

County of Yakima--Record No. 133--Registered No. 44--Wide Hollow R.F.D #2

Robert W. Smith, of R. F. D. 2 Tieton Drive
Male, White, Married, Occupation Farmer
Date of Birth Aug. 13, 1837, Birthplace Leeds, England 81 years 7 months 26
days
Father Geo. Smith born Leeds, England--Mother Alice Wejord born England
Informant Ray Smith, RFD #2
Date of Death  April 19, 1920*--I hereby certify, That I attended deceased
from Apr. 1, 1919 to Apr. 9. 1919 that I last saw him alive on Apr. 9, 1919
and that death occurred, on the date stated above, at 8 AM The Cause of
Death was as follows: Spanish influenza duration 10 days Contributory
Senility signed S. D. Cameron, MD, Yakima, Wn

filed with the Bureau of Vital Statistics Seattle, Wash Aug. 13, 1920
Burial Tahoma Cemetery April 12, 1919 Undertaker Shaw & Sons, Yakima, Wn