Date:  14 February 1953
Cert:  10655 
Place of Death: County: Knott      City or Town: Lackey
Length of stay (in this place): (blank)
Street address or location:  Stumbo Memorial Hosp.
Usual Residence of Deceased: State: Ky.     County: Floyd
City or Town: Hueysville, Ky.     Street Address: (blank)
Full Name:  Jack ADKINS
Date of Death:  14 February 1953
Sex, Color or Race, Marital Status:  Male, White, Married
Date of Birth:  10 June 1895
Age:  58 years
Usual Occupation:  Merchant
Kind of Industry or business: (blank)
Birthplace:  Ky.
Father's Name:  George ADKINS
Mother's Maiden Name:  Alice PRATER
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  Orville ADKINS
Disease or condition directly leading to death:  Cardiac failure
Interval between onset and death:  (blank)
Due to:  Coronary occlusion
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy:  (blank)
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 02 January 1953 to 14 February 1953, that I last saw the deceased alive on 14 February 1953, and that death occurred at 7:15 p.m., from the causes and on the date stated above.
Date signed:  01 May 1953
Address:  Lackey, Ky.
Signature:  C. M. Aker, M.D.
Burial, Cremation or Removal:  Burial
Date:  17 February 1953
Name of Cemetery or Crematory:  Family
Location:  Hueysville, Ky.
Date received by local registrar: 01 May 1953
Registrar's Signature: Mrs. Rose B. Craft
Funeral director & address: Birchell C. Hall, Martin, Ky.
Transcribed by Debbie Tamborski, 05 February 2011