DEATH
CERTIFICATE
LILY M. ADAMS
Date 23 March 1925 Cert: 05992 Place of Death: Voting Precinct: G. S. Hospital, Lexington, Fayette Co., Ky. Full Name: Lily M. ADAMS Sex, Color or Race, Marital Status: Female, White, Married Date of Birth: 15 May 1897 Age: 27 years Occupation: Housekeeper Birthplace: Knott Co., Ky. Name of Father: Wilbur PIGMON Birthplace Father: Knott Co., Ky. Maiden name of Mother: Mary SMITH Birthplace Mother: Knott Co. Informant/Address: S. A. ADAMS, Viper, Ky. Filed: 27 March 1925 Registrar: D. A. Furlong Death Date: 23 March 1925 I hereby certify that I attended deceased from 09 March 1925, to 23 March 1925, that I last saw her alive on 21 March 1925, and that death occurred, on the date stated above, at 9:00 Cause of Death: Addison's Disease Pulmonary T. B. Duration: (blank) Contributory: Circulatory Failure Signed/Address: M. M. Brown, M.D., 24 March 1925, 164 Market St., Lex., Ky. Length of residence where disease contracted: (blank) Former or usual residence: Viper, Ky. Place of Burial or Removal: Ivis, Ky. Date of Burial: 26 March 1925 Undertaker/Address: Kerr Bros., Lex., Ky. Transcribed by Debbie Tamborski, 20 March 2010 |