Date 28 July 1916
Cert: # 32402
Name: Robert ADAMS
Male, Black, Child
Age: 01 days
Place of Death: Voting Precinct #6, Knott Co., KY
Birth Date: 27 July 1916
Occupation: (blank)
Place of Birth: Knott Co., Ky.
Name of Father: Noah ADAMS
Birthplace Father: Letcher Co., Ky.
Maiden Name of Mother: Matilda COMBS
Birthplace Mother: Perry Co., Ky.
Informant: Noah ADAMS, Sassafras, Ky.
Death Date: 28 July 1916
Cause of Death: (blank)
Signed: (blank)
Burial Place: James Stacys
Date of Burial: 28 July 1916
Undertaker: Noah Adams, Sassafras, Kentucky
File Date: 28 July 1916
Transcribed by Debbie Tamborski, 25 November 2008