Date: 21 February 1949
Cert: 05621
Place of Death: County: Knott
City or Town: Red Fox Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: None
On Breedings Creek
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Red Fox Rural
Street Address: (blank)
Full Name: Stephen ADAMS
Date of Death: 21 February 1949
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 18 August 1880
Age: 68 years
Usual Occupation: Miner
Kind of Industry or business: Coal Mining
Birthplace: Letcher Co., Ky.
Father's Name: Dan ADAMS
Mother's Maiden Name: Nancy ADAMS
Was deceased ever in armed forces: No
Social Security No.: 404-24-8030
Informant: Ellis ADAMS
Disease condition directly leading to death: Cancer - Abdomen
Interval between onset and death: (blank)
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
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 (blank) to
(blank), that I last saw the deceased alive on (blank), and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: 08 March 1949
Address: Hindman, Ky.
Signature: J. W. Duke, M.D.
Burial, Cremation or Removal: Burial
Date: 22 February 1949
Name of Cemetery or Crematory: Adams Cemetery
Location: Hale Br., Breedings Creek, Knott Co., Ky.
Date received by local registrar: 08 March 1949
Registrar's Signature: Rose B. Craft
Funeral director & address: Friends, Red Fox, Ky.
Transcribed by Debbie Tamborski, 02 January 2011 |