DEATH CERTIFICATE

ELIZABETH ADAMS

 

Date:    18 August 1949
Cert:    16796 
Place of Death: County: Knott     City or Town:  Litt Carr
Length of stay (in this place): (blank)
Name of Hospital or Institution:  None
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town: Litt Carr     Street Address: (blank)
Full Name:  Elizabeth ADAMS
Date of Death:  18 August 1949
Sex, Color or Race, Marital Status: Female, White, Widowed
Date of Birth:  22 February 1850
Age: 98 years
Usual Occupation:  Housewife
Kind of Industry or business: Home
Birthplace:  Letcher County
Father's Name:  George W. CALHOUN
Mother's Maiden Name:  Pricilla COLLINS
Was deceased ever in armed forces: No
Social Security No.:  None
Informant:  Dr. ADAMS
Disease or condition directly leading to death:  (blank)
Interval between onset and death:  (blank)
Due to:  Senility
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy:  No
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 February 1949 to 18 August 1949, that I last saw the deceased alive on 17 August 1949, and that death occurred at 2 a.m., from the causes and on the date stated above.
Date signed:  25 August 1949
Address:  Allock, Ky.
Signature:  A. B. Pigman, M.D.
Burial, Cremation or Removal:  Burial
Date:  20 August 1949
Name of Cemetery or Crematory:  Day Cemetery
Location:  Litt Carr, Ky.
Date received by local registrar:  26 August 1949
Registrar's Signature:  Rose B. Craft
Funeral director & address:  Maggard & Garrett, Hazard, Ky.
Transcribed by Debbie Tamborski, 02 January 2011