Date: 27 December 1946
Cert: 01691
Place of Death: County: Knott City or
Town: Lackey
Name of Hospital or Institution: Stumbo Memorial Hosp.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Floyd
City or Town: Garrett
Full Name: Unnamed ADKINS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 27 December 1946
Age: 12 hours
Birthplace: Lackey, Ky.
Occupation: (blank)
Industry or business: (blank)
Father Name: Milford ADKINS
Father Birthplace: Rush, Ky.
Mother Maiden Name: Sadie TERRY
Mother Birthplace: Knott Co.
Informant: Milford ADKINS, Garrett, Ky.
Burial Place: Lackey
Date: 28 December 1946
Signature of funeral director: G. D. Ryan, Martin, Ky.
Date received by local registrar: 21 January 1947
Registrar's Signature: Rose B. Craft
Date of Death: 27 December 1946
I hereby certify that I attended deceased from 27 December
1946 to
(blank), that I last saw him alive on 27 December 1946, and
that death occurred on the date stated above at 4 p.m.
Immediate cause of death: Respiratory failure due to
pneumonia
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: Charles M. Akers, M.D., Lackey,
Ky.
Date signed: 21 January 1947
Transcribed by Debbie Tamborski, 03 December 2010 |