DEATH CERTIFICATE

WILLIARD ADAMS

 

Date  23 April 1912
Deathvol 
Vol:   1912
Cert: # 10575
Name: Williard ADAMS
Male, Black, Single
Age: 1 day
Place of Death: Voting Pct No. #6, Knott Co., KY
Birth Date:  22 April 1912
Place of Birth:  Knott Co., KY
Father:  Noah ADAMS                                                Birthplace Father: Letcher Co., KY
Mother:  Tilda WALKER                                              Birthplace Mother:  Perry Co., KY
Informant:  Leslie HAGANS
Death Date:  23 April 1912
Cause of Death:  Not known or strangulation on phlegm
Signed:   J.W. Duke, M.D.
Burial Place:  Stacy Graveyard
Undertaker:  Noah Adams
File Date:  23 April 1912
Transcribed by Debbie Tamborski, 13 June 2008