Date 11 January 1917
Cert: 00920
Place of Death: Voting Precinct: Painter Harve, Weeksbury, Floyd Co., KY
Full Name: Willia Anna Gayheart ADKINS
Sex, Color or Race, Marital Status: Female, White, Married
Date of Birth: 04 February 1899
Age: 17 years
Occupation: (blank)
Birthplace: Beaver, Ky.
Name of Father: Edward GAYHEART
Birthplace Father: Va.
Maiden name of Mother: Susie VANCE
Birthplace Mother: Beaver, Ky.
Informant/Address: (blank)
Filed: 01 Febraury 1917
Registrar: E. Hiram Hall
Death Date: 11 January 1917
I hereby certify that I attended deceased from 03 January 1917,
to 11 January 1917, that I last saw her alive on 11 January 1917,
and that death occurred, on the date stated above, at 11 p.m.
Cause of Death: Measles and Pneumonia
Duration: 09 days
Contributory: (blank)
Signed/Address: Dr. W. L. Stumbo, M.D., Weeksbury
Length of residence where disease contracted: (blank)
Former or usual residence: (blank)
Place of Burial or Removal: Beaver, Ky.
Date of Burial: 12 January 1917
Undertaker/Address: Edward Gayheart, Weeksbury, Ky.
Transcribed by Debbie Tamborski, 28 February 2010