DEATH CERTIFICATE

ROBERT LEE ADAMS

 

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