Date 17 July 1922
Cert: # 5302
Name: Kana ADAMS
Male, White, Married
Age: 56 years
Place of Death: Vot. Pct. Head Beaver, Puncheon, Knott Co., KY
Birth Date: June 1866
Occupation: Farmer
Place of Birth: Knott Co., Ky.
Name of Father: John ADAMS
Birthplace Father: Knott Co., Ky.
Maiden Name of Mother: Don't know
Birthplace Mother: (blank)
Informant: H. B. HALL, Democrat, Ky.
Death Date: 17 July 1922
Cause of Death: Bronchopneumonia
Signed: T. A. Cook, M.D.
Burial Place: W. H. Hall's
Date of Burial: 18 July 1922
Undertaker: W. H. Hall, Puncheon, Ky.
File Date: (blank)
Transcribed by Debbie Tamborski, 05 December 2008