Date:   18 January 1944
Cert:   02175 
Place of Death: County: Knott     City or Town:  rural
Street Number or Location:  Red Fox
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town:  Rural     If rural, give precinct:  Red Fox
Full Name:  Mrs. Nicey ADAMS CAMPBELL
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, Negro, Married
Husband or Wife of:  Clayton CAMPBELL
Age of husband or wife if alive:  (blank)
Birth date of deceased:  28 March 1895
Age: 48 years, 09 months, 20 days
Birthplace:  Blackey, Ky.
Occupation:  House work
Industry or business: (blank)
Father Name:  Dan ADAMS
Father Birthplace:  Kentucky
Mother Maiden Name:  (blank)
Mother Birthplace:  (blank)
Informant:  (blank)
Burial Place:  Red Fox, Ky.
Date:  20 January 1944
Signature of funeral director: Family, Red Fox, Ky.
Date received by local registrar:  (blank)
Registrar's Signature:  (blank)
Date of Death:  18 January 1944
I hereby certify that I attended deceased from 30 November 1941 to 18 January 1944, that I last saw him alive on 18 January 1944, and that death occurred on the date stated above at 5 p.m.
Immediate cause of death: Carcinoma of left breast with extensive metastasis to lung fields & axillas
Duration: (blank)
Due to: (blank)
Major findings of operations: Malignancy of breast had rt. breast removed
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: R. D. Collins, M.D., Whitesburg, Ky.
Date signed:  26 January 1944
Transcribed by Debbie Tamborski, 07 November 2010