Date    29 June 1916
Cert: # 15890
Name: Dovie ADAMS
Female, Colored, Child
Age: 1 years, 7 months
Place of Death: Knott Co., KY
Birth Date: 29 November 1914
Place of Birth: Knott Co., Ky.
Father: Danial ADAMS                                                   Birthplace Father: Letcher Co., Ky.
Mother: Pheba WILLIAMS                                                       Birthplace Mother: Knott Co., Ky.
Informant: Ralph ADAMS, Ky.
Death Date: 29 June 1916
Cause of Death: Liver Complaint
Signed:  F. C. Roark, M.D.
Burial Place: Shade Smiths
Undertaker: Danial Adams, Smithsboro, Ky.
File Date: 30 June 1916
Transcribed by Debbie Tamborski, 26 October 2008