DEATH CERTIFICATE

 GREEN ADAMS

 

Date:   19 September 1951
Cert:   18748 
Place of Death: County: Letcher     City or Town: Neon
Length of stay (in this place): (blank)
Street Address or Location:  Residence
Usual Residence of Deceased: State: Ky.      County: Letcher
City or Town:  Neon, Ky.   Street Address: Acne Hill
Full Name:  Green ADAMS
Date of Death:  19 September 1951
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth:  10 March 1885
Age: 66 years, 06 months, 09 days
Usual Occupation:  unemployed
Kind of Industry or business: (blank)
Birthplace:  Knott Co., Ky.
Father's Name:  Waddie ADAMS
Mother's Maiden Name:  Nerva ADAMS
Was deceased ever in armed forces: no
Social Security No.: (blank)
Informant:  Daniel ADAMS
Disease or condition directly leading to death:  Cardio (?Renal? illegible) disease
Interval between onset and death:  02 years
Due to:  Age and local infection
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: none
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 01 May 1951 to 18 September 1951, that I last saw the deceased alive on 18 September 1951, and that death occurred at 3:00 a.m., from the causes and on the date stated above.
Date signed:  25 September 1951
Address:  Seco, Ky.
Signature:  (illegible), M.D.
Burial, Cremation or Removal:  Burial
Date:  22 September 1951
Name of Cemetery or Crematory:  Riley Bentley Cem.
Location:  Rockhouse, Ky.
Date received by local registrar:  24 September 1951
Registrar's Signature:  G. W. Collins
Funeral director & address:  Craft Funeral Home, Neon, Ky.
Transcribed by Debbie Tamborski, 22 July 2010