DEATH CERTIFICATE

STELLA ADAMS

 

Date    21 December 1913
Deathvol Vol:   1913
Cert: #  32784
Name:  Stella ADAMS
Female, Black, Single
Age:  Born Dead
Place of Death: Voting Pct. No. 6, Knott Co., KY
Birth Date:  21 December 1913
Place of Birth:  Knott Co., Ky.
Father:  Noah ADAMS                                                   Birthplace Father:  Knott Co., Ky.
Mother:  Tilda ADAMS                                                       Birthplace Mother:  Knott Co., Ky.
Informant:  W. G. COMBS, Sassafras, Ky.
Death Date:  21 December 1913
Cause of Death:  Born Dead--Stillbirth
Signed:  M. F. Kelly, M.D.
Burial Place:  Combs Grave
Undertaker:  Noah Adams, Sassafras, Ky.
File Date: 25 December 1913
Transcribed by Debbie Tamborski, 22 July 2008