Death Certificate:
John William Smith  
Certificate Number; 1076
Place of death: White City, Hopkins County, KY
Sex: male
race: white
marital:  married
age: 79
Occupation: farmer & coal miner
father: Richard Smith  born:KY
mother: Sarah Davis  born: KY
Informant: N. Littlepage
Burial:  Grapevine Cemetery
signed: JD _____________
date of death: 1-6-1921
cause:killed in mines by falling slate and stone.