DEATH CERTIFICATE

Unnamed ADKINS

 

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