DEATH CERTIFICATE

MAUDIE MAE ADKINS

 

Date:  27 May 1950
Cert:  14720 
Place of Death: County: Knott      City or Town: Lackey
Length of stay (in this place): (blank)
Name of Hospital or Institution: Stumbo Memorial Hosp.
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town: Lackey     Street Address: (blank)
Full Name:  Maudie Mae ADKINS
Date of Death:  27 May 1950
Sex, Color/Race, Marital Status: Female, White, Never Married
Date of Birth:  15 October 1940
Age: 09 years
Usual Occupation: (blank)
Kind of Industry or business: (blank)
Birthplace:  Ky.
Father's Name:  Everrett ADKINS
Mother's Maiden Name:  Leona THORNSBERRY
Was deceased ever in armed forces: No
Social Security No.: (blank)
Informant: Everrett ADKINS
Disease or condition directly leading to death:  Drowning
Interval between onset and death:  (blank)
Due to:  (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: Accident
Place of injury: Beaver Creek
City or Town, County, State: Pumpkin Center, Floyd, Ky.
Time of Injury: 27 May 1950, 4:45 p.m.
Injury occurred at work: Not while at work
How did injury occur: (blank)
I hereby certify that I attended deceased from (blank) to (blank), that I last saw the deceased alive on (blank), and that death occurred at (blank), from the causes and on the date stated above.
Date signed:  (blank)
Address:  Lackey, Ky.
Signature:  Martha A. Loving, M.D.
Burial, Cremation or Removal:  Burial
Date:  29 May 1950
Name of Cemetery or Crematory:  Lackey Cem.
Location:  Lackey, Ky.
Date received by local registrar: 27 June 1950
Registrar's Signature:  Rose B. Craft
Funeral director & address:  (blank)
Transcribed by Debbie Tamborski, 10 January 2011