DEATH CERTIFICATE

 ADAM DOBSON

Date:   07 September 1942
Cert:   27682 
Place of Death: County: Knott     City or Town: Vest, Ky.
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: (blank)   County: (blank)
City or Town:  (blank)
Full Name:  Adam DOBSON
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: (blank)
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:  26 October 1917
Age: 24 years
Birthplace:  Vest, Ky.
Occupation:  Farmer
Industry or business: (blank)
Father Name:  Wm. DOBSON
Father Birthplace:  Knott Co.
Mother Maiden Name:  Florida RITCHIE
Mother Birthplace:  Knott Co.
Informant:  Florida DOBSON, Hindman, Ky.
Burial Place:  Vest
Date:  09 September 1942
Signature of funeral director: Siles Terry, Vest, Ky.
Date received by local registrar:  10 December 1943
Registrar's Signature:  (blank)
Date of Death:  07 September 1942
I hereby certify that I attended deceased from (blank) to (blank), that I last saw him alive on (blank), and that death occurred on the date stated above at (blank)
Immediate cause of death: (illegible) suicide by gun shot
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: Suicide
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: J. W. Duke, M.D., Hindman, Ky.
Date signed:  16 December 1943
Transcribed by Debbie Tamborski, 23 October 2010