Date: 29 March 1951
Cert: 05496
Place of Death: County: Knott
City or Town: Rural
Length of stay (in this place): All of life
Street address or location: May, Ky.
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural If rural give
precinct: May, Ky.
Full Name: Mary ADAMS
Date of Death: 29 March 1951
Sex, Color or Race, Marital Status: Female, White, Widowed
Date of Birth: 25 February 1880
Age: 71 years
Usual Occupation: Housewife
Kind of Industry or business: Keeping house
Birthplace: Knott Co., Ky.
Father's Name: Harrison HALL
Mother's Maiden Name: Elizabeth BATES
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: (J--- illegible) ADAMS
Disease or condition directly leading to death: (blank)
Interval between onset and death: (blank)
Due to: Paralysis
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 25 March 1951 to
29 March 1951, that I last saw the deceased alive on 29 March
1951, and
that death occurred at 3:40 p.m., from the causes and on the
date stated above.
Date signed: 29 March 1951
Address: Hindman
Signature: M. F. Kelley, M.D.
Burial, Cremation or Removal: Burial
Date: 31 March 1951
Name of Cemetery or Crematory: Family
Location: May, Ky.
Date received by local registrar: 30 March 1951
Registrar's Signature: Rose B. Craft
Funeral director & address: Hindman Funeral Home, John N.
Taul (Director)
Transcribed by Debbie Tamborski, 17 January 2011 |