Date 17 July 1922
Cert: # 16125
Name: K. ADAMS
Male, White, Married
Age: 50 years
Place of Death: Voting Precinct #14, Knott Co., KY
Birth Date: June 1872
Occupation: Farming
Place of Birth: Floyd Co.
Name of Father: (blank)
Birthplace Father: (blank)
Maiden Name of Mother: (blank)
Birthplace Mother: (blank)
Informant: Tildon BATES, Kite, Ky.
Death Date: 17 July 1922
Cause of Death: Liver trouble
Signed: (blank)
Burial Place: Harrison Hall
Date of Burial: (blank)
Undertaker: Tildon Bates
File Date: 25 July 1922
Transcribed by Debbie Tamborski, 05 December 2008