Date: 27 January 1947
Cert: 00727
Place of Death: County: Fayette     City or Town: Lexington
Hospital or Institution: St. Jos. Hosp.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.    County: Bourbon
City or Town: Paris - Rural     Street No.: R. F. D. 5
Full Name: Charles ADAMS
If Veteran Name War: World War 2
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 01 December 1921
Age: 25 years, 01 months, 26 days
Birthplace: Knott Co., Ky.
Occupation: Genl. Labor
Industry or business: (blank)
Father Name: Jno. B. ADAMS
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Retta AUSTIN
Mother Birthplace: Va.
Informant: Ansela ADAMS, Paris, Ky. R. F. D. 5
Removal Place: Whitesburg, Ky.
Date: 28 January 1947
Signature of funeral director: Kerr Bros.
Date received by local registrar: 30 January 1947, Lexington, Ky.
Registrar's Signature: D. A. Furlong
Date of Death: 27 January 1947
I hereby certify that I attended deceased from (blank) to (blank), that I last saw him alive on (blank), and that death occurred on the date stated above at 5:45 p.m.
Immediate cause of death: Crushed Skull and Internal Injuries
Duration: (blank)
Due to: Auto Accident Accidental Death
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: 27 January 1947
Where did injury occur: On Public Highway
While at work: (blank)
Means of injury: (blank)
Signature & Address: J. H. Kerr, Coroner, Lexington, Ky.
Date signed: 28 January 1947
Transcribed by Debbie Tamborski, 22 June 2010