DEATH CERTIFICATE

POLLYAN ADDAMS

 

Date    15 February 1914
Deathvol Vol:   1914
Cert: #  11814
Name:  Pollyan ADDAMS
Female, White, Single
Age:  23 years, 4 months, 15 days
Place of Death: Voting Pct. Hindman, Knott Co., KY
Birth Date:  01 October 1891
Place of Birth:  Letcher Co., Ky.
Father:  Joseph ADDAMS                                                   Birthplace Father:  Kentucky
Mother:  Sally SEXTON                                                       Birthplace Mother:  (Blank)
Informant:  (Blank)
Death Date:  15 February 1914
Cause of Death:  Uxalthalmic Gaiten
Signed:  M. F. Kelley, M.D.
Burial Place:  (Illegible)
Undertaker:  Joe Addams, Hindman, Ky.
File Date: 11 May 1914
Transcribed by Debbie Tamborski, 24 July 2008