Date 29 April 1921
Cert: # 8390
Name: Susa ADAMS
Female, White
Age: 42 years
Place of Death: Voting Precinct #2, Knott Co., KY
Birth Date: 24 August 1879
Occupation: (blank)
Place of Birth: Ky.
Name of Father: James KING
Birthplace Father: Ky.
Maiden Name of Mother: Sarah BATES
Birthplace Mother: Ky.
Informant: Bob ADAMS, Pinetop, Ky.
Death Date: 29 April 1921
Cause of Death: by birth of child
Signed: J. W. Duke, M.D.
Burial Place: James Kings
Date of Burial: 30 April 1921
Undertaker: 10 May 1921
File Date:
Transcribed by Debbie Tamborski, 05 December 2008