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 |