DEATH
CERTIFICATE
EVERETTE ADAMS
| Date 27 June 1920 Cert: # 16543 Name: Everette ADAMS Male, White, Child Age: 05 years, 01 months, 18 days Place of Death: Voting Precinct #6, Knott Co., KY Birth Date: 09 May 1915 Occupation: (blank) Place of Birth: Knott Co., Ky. Name of Father: Hiram ADAMS Birthplace Father: Knott Co., Ky. Maiden Name of Mother: Millie SMITH Birthplace Mother: Knott Co., Ky. Informant: Henderson SMITH, Smithsboro, Ky. Death Date: 27 June 1920 Cause of Death: Caused by a hurt in right side, caused by a fall Signed: Boggs Burial Place: Hiram Adams Date of Burial: 27 June 1920 Undertaker: Hiram Adams, Smithsboro, Ky. File Date: 27 June 1920 Transcribed by Debbie Tamborski, 05 December 2008 |