DEATH CERTIFICATE

LULA ADAMS

 

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