DEATH
CERTIFICATE
IRA ADKINS
Date 18 January 1917 Cert: 00916 Place of Death: Voting Precinct: Painter Harve, Weeksbury, Floyd Co., KY Full Name: Ira ADKINS Sex, Color or Race, Marital Status: Male, White (blank) Date of Birth: 19 September 1915 Age: 01 years, 05 months Occupation: (blank) Birthplace: Beaver, Ky. Name of Father: Andy ADKINS Birthplace Father: Floyd Co., Ky. Maiden name of Mother: Willia Anna GAYHEART Birthplace Mother: Beaver, Ky. Informant/Address: (blank) Filed: 01 February 1917 Registrar: E. Hiram Hall Death Date: 18 January 1917 I hereby certify that I attended deceased from 12 January 1917, to 18 January 1917, that I last saw him alive on 18 January 1917, and that death occurred, on the date stated above, at 12 p.m. Cause of Death: Measles Duration: (blank) Contributory: (blank) Signed/Address: Dr. W. L. Stumbo, M.D., Weeksbury, Ky. Length of residence where disease contracted: (blank) Former or usual residence: (blank) Place of Burial or Removal: Beaver, Ky. Date of Burial: 20 January 1917 Undertaker/Address: Edward Gayheart, Weeksbury, Ky. Transcribed by Debbie Tamborski, 28 February 2010 |