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