Date 31 July 1941
Cert: 16953
Place of Death: County: Floyd City or Town: Martin, Ky.
Name of Hospital or Institution: Beaver Valley Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County: Floyd
City or Town: Galveston
Full Name: Victoria ADKINS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of: Andy
Age of husband or wife if alive: 50
Birth date of deceased: 10 October 1900
Age: 40 years, 10 months, 21 days
Birthplace: Raven, Ky.
Occupation: Domestic
Industry or business: (blank)
Father Name: Wess MCKENNY
Father Birthplace: Knott Co.
Mother Maiden Name: Marry HAMILTON
Mother Birthplace: Houston, Ky.
Informant: Robert MCKENNY, Harold, Ky.
Burial Place: Galveston, Ky.
Date: 01 August 1941
Signature of funeral director: O. T. Lemaster, Martin, Ky.
Date received by local registrar: 01 August 1941
Registrar's Signature: Mrs. Ben Norris
Date of Death: 31 July 1941
I hereby certify that I attended deceased from 31 July 1941 to 31 July 1941, that I last saw her alive on 31 July 1941, and that death occurred on the date stated above at 10:45 p.m.
Immediate cause of death: Cardiac Failure
Duration: (blank)
Due to: Rheumatic Ht. Disease
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: Edward R. Dadden M.D., Martin, Ky.
Date signed: (blank)
Transcribed by Debbie Tamborski, 13 May 2010