Date 27 December 1922
Cert: # 27748
Name: Richard ADAMS
Male, White, Single
Age: 03 years, 06 months, 12 days
Place of Death: Voting Precinct #1 Leburn, Knott Co., KY
Birth Date: 15 June 1919
Occupation: School Boy
Place of Birth: Knott Co., Ky.
Name of Father: Dick ADAMS
Birthplace Father: Kentucky
Maiden Name of Mother: Lizzie WATTS
Birthplace Mother: Kentucky
Informant: (blank)
Death Date: 27 December 1922
Cause of Death: Labor Pneumonia
Signed: M. F. Kelley, M.D.
Burial Place: Slone Cemetery
Date of Burial: 28 December 1922
Undertaker: Dick Addams, Leburn, Ky.
File Date: 28 December 1922
Transcribed by Debbie Tamborski, 05 December 2008