Date: 16 September 1948
Cert: 19027
Place of Death: County: Knott City or
Town: Anco, Ky. Rural
Name of Hospital or Institution: None
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Perry
City or Town: Scuddy Rural
Full Name: Lula ADAMS
If Veteran Name War: None
Social Security No.: None
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: Nat Adams
Age of husband or wife if alive: 23 years
Birth date of deceased: ? ? ? (transcribed as
written)
Age: 24 years
Birthplace: Knott County, Ky.
Occupation: Housewife
Industry or business: Home
Father Name: Harlan GIBSON
Father Birthplace: Knott County, Ky.
Mother Maiden Name: Martha STAMPER
Mother Birthplace: Knott County, Ky.
Informant: Nat ADAMS, Scuddy, Ky.
Burial Place: Hindman, Ky.
Date: 18 September 1948
Signature funeral director: Maggard-Blair & Garrett,
Hazard, Ky.
Date received by local registrar: 27 September 1948
Registrar's Signature: Rose B. Craft
Date of Death: 16 September 1948
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at 6 a.m.
Immediate cause of death: Pulmonary Tuberculosis
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: J. R. Aker, M.D., Anco, Ky.
Date signed: 22 Septembe 1948
Transcribed by Debbie Tamborski, 22 December 2010 |