DEATH CERTIFICATE

FRAZIER ADAMS

 

Date:  08 February 1950
Cert:  03215 
Place of Death: County: Knott      City or Town: Rural
Length of stay (in this place): All of Life
Street address or location:  Sassfrass, Ky.
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town: Rural     If rural give precinct:  Sassfrass, Ky.
Full Name:  Frazier ADAMS
Date of Death:  08 February 1950
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth:  08 September 1878
Age:  71 years
Usual Occupation:  Merchant
Kind of Industry or business: Merchanising
Birthplace:  Knott Co.
Father's Name:  Randolph ADAMS
Mother's Maiden Name:  Elizabeth CALHOUN
Was deceased ever in armed forces: No
Social Security No.: (blank)
Informant:  Ed ADAMS
Disease or condition directly leading to death: Cancer (illegible)
Interval between onset and death:  02 years
Due to:  Hemorrhage
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: Knott, Ky.
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from November 1949 to 08 February 1950, that I last saw the deceased alive on 07 February 1950, and that death occurred at 4 p.m., from the causes and on the date stated above.
Date signed:  22 February 1950
Address:  Allock
Signature:  A. B. Pigman, M.D.
Burial, Cremation or Removal:  Burial
Date:  10 February 1950
Name of Cemetery or Crematory:  Tolliver
Location:  Knott Co., Ky.
Date received by local registrar: 25 February 1950
Registrar's Signature:  Rose B. Craft
Funeral director & address:  Hindman Funeral Home
Transcribed by Debbie Tamborski, 10 January 2011