Date   01 December 1936
Cert: 33633
Name:  Jeanette ADAMS
Place of Death: Voting Pct. Upper Carr #2, Knott Co., KY
Residence: Pinetop, Ky.
Length of residence: (blank)
Female, White, Child
Husband or Wife of: (blank)
Birth Date: 25 November 1936
Age: 05 days
Occupation: (blank)
Place of Birth: Pinetop, Ky.
Name of Father: Robert ADAMS
Birthplace Father: Knott Co.
Maiden Name of Mother: Nola BENTLEY
Birthplace Mother: Letcher Co., Ky.
Informant: Henry BLAIR, Pinetop, Ky.
Death Date: 01 December 1936
Cause of Death:   Unknown
Signed: (blank)
Burial Place: W. S. Amburgey
Date of Burial: 01 December 1936
Undertaker: (blank)
File Date: 11 December 1936
Transcribed by Debbie Tamborski, 21 August 2009