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 |