DEATH
CERTIFICATE
MARY ADAMS
| Date 13 June 1921 Cert: # 12939 Name: Mary ADAMS Female, White Age: 02 months, 11 days Place of Death: Voting Precinct #14, Knott Co., KY Birth Date: 02 April 1921 Occupation: Infant Place of Birth: Knott Co. Name of Father: Bob ADAMS Birthplace Father: Knott Co. Maiden Name of Mother: Susie KING Birthplace Mother: Knott Co. Informant: Harim HALL, Puncheon, Ky. Death Date: 13 June 1921 Cause of Death: Summer complaint Signed: (blank) Burial Place: B.F. Strange Date of Burial: 14 June 1921 Undertaker: Harim Hall, Puncheon, Ky. File Date: 05 July 1921 Transcribed by Debbie Tamborski, 05 December 2008 |