DEATH CERTIFICATE

MARY ADAMS

 

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