DEATH CERTIFICATE

MALCUM ADDAMS

 

Date  23 January 1922
Cert: #  1754 
Name:  Malcum ADDAMS 
Male, White, Single
Age:  05 years,  13 days
Place of Death: Voting Precinct Pinetop, Knott Co., KY
Birth Date:  10 January 1917 
Occupation:  School Boy
Place of Birth:  Knott Co., Ky.
Name of Father:  Robert ADDAMS
Birthplace Father:  Kentucky
Maiden Name of Mother:  Sussie KING
Birthplace Mother:  Kentucky
Informant:  (blank) 
Death Date:  23 January 1922
Cause of Death:  Typhoid Fever 
Signed:  M. F. Kelley, M.D.
Burial Place:  King Cemetery
Date of Burial:  28 January 1922
Undertaker:  Robert Addams, Pinetop, Ky.
File Date:  30 January 1922
Transcribed by Debbie Tamborski, 05 December 2008