Date: 15 January 1954
Cert: 26466
Place of Death: County: Knott
City or Town: Spider
Length of stay (in this place): 50 years
Street address or location: Pt. died at Home at Spider,
Knott Co., Ky.
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Spider If rural give
location:
(blank)
Full Name: Robert Lee ADAMS
Date of Death: 15 January 1954
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 22 July 1872
Age: 81 years
Usual Occupation: Farmer
Kind of Industry or business: Farming
Birthplace: Ky.
Father's Name: John ADAMS
Mother's Maiden Name: Unknown
Was deceased ever in armed forces: No
Social Security No.: (blank)
Informant: Jim ADAMS
Disease or condition directly leading to death: Hypertensive
Heart Disease
Interval between onset and death: unknown
Due to (b): Hypertension
Interval between onset and death: unk.
Due to (c): arteriosclerosis
Interval between onset and death: unk.
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
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 29 January 1953
to 07 December 1953, that I last saw the deceased alive on 07
December 1953, and that death occurred at 5:00 a.m., from the
causes and on the date stated above.
Date signed: 27 January 1954
Address: Hindman, Ky.
Signature: D. G. Barker, M.D.
Burial, Cremation or Removal: Burial
Date: 18 January 1954
Name of Cemetery or Crematory: Adams Cemetery
Location: Spider, Ky.
Date received by local registrar: 29 August 1954
Registrar's Signature: Rose B. Craft
Funeral director & address: John N. Taul, Hindman, Ky.
Transcribed by Debbie Tamborski, 23 February 2011 |