Date:  26 March 1953
Cert:  15049 
Place of Death: County: Knott      City or Town: Red Fox
Length of stay (in this place): (blank)
Street address or location:  Home
Usual Residence of Deceased: State: Ky.     County:  Knott
City or Town: Red Fox, Ky.     Street Address: (blank)
Full Name:  Dan ADAMS
Date of Death:  26 March 1953
Sex, Color or Race, Marital Status: Male, Black, Widowed
Date of Birth:  05 February 1865
Age:  88 years 
Usual Occupation:  Miner
Kind of Industry or business: Mines
Birthplace:  Letcher Co.
Father's Name:  Dan ADAMS Sr.
Mother's Maiden Name:  unknown
Was deceased ever in armed forces: no
Social Security No.:  none
Informant:  Son Goodloe ADAMS
Disease/condition directly leading to death: Cerebral Hemorrhage
Interval between onset and death:  (blank)
Due to:  (blank)
Other significant conditions: Hypertension
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy:  (blank)
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 26 March 1953 to 26 March 1953, that I last saw the deceased alive on 26 March 1953, and that death occurred at (blank), from the causes and on the date stated above.
Date signed:  01 April 1953
Address:  Whitesburg, Ky.
Signature:  B. C. Back, M.D.
Burial, Cremation or Removal:  Burial
Date:  28 March
Name of Cemetery or Crematory:  Red Fox
Location:  Red Fox, Ky.
Date received by local registrar: 03 April 1953
Registrar's Signature:  Mrs. Rose B. Craft
Funeral director & address:  Maggard & Garrett
Transcribed by Debbie Tamborski, 05 February 2011