All spelling is how it appeared to the transcriber.

Estill Co., KY   Cert # 24228    [This copy was not clearly legible.] 
Vot. Pct.:  Fork 

Full Name:  Mrs. Eva Walers [?Walters?] 
Sex:  Female    Race:  White   Marital Status:  Married 
Date of Birth:    
Age:    44[?]yrs       mos.    days 
Occupation:  Housewife 

Birthplace:    Kentucky 
Father:  A. W. Adams 
Birthplace of father:   Kentucky 
Mother:  Lizzie Craig 
Birthplace of mother:  Kentucky 

Date of Death:  Sept. 29, 1920 
Cause of Death:  Tuberculin Arthritis 
Contributory:    
Place of Burial:   Walters Graveyard 
Date of Burial:  Sept. 29, 1920 
Undertaker:   R. P. Walters 
Address:   Ironmound, Ky 

Informant:  C. D. Walters 
Address:  Ironmound, Ky