Date:  08 June 1955
Cert:  #12144
Place of Death: County: Knott      City or Town: Rural - Lackey
Length of stay (in this place): 03 weeks
Name of Hospital or Institution: Stumbo Hospital
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town: Rural     Street Address: Mousie, Ky.
Full Name:  Adam RITCHIE
Date of Death:  08 June 1955
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth:  23 January 1914
Age: 41 years
Usual Occupation:  School Teacher
Kind of Industry or business: Teaching School
Birthplace:  Knott Co., Ky.
Father's Name:  Alex RITCHIE
Mother's Maiden Name:  Mallie COMBS
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  Chloey RITCHIE
Disease or condition directly leading to death: Acute myelogenous leukemia
Interval between onset and death:  02 months
Due to:  (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 03 May 1955 to 08 June 1955, that I last saw the deceased alive on 08 June 1955, and that death occurred at 3:20 p.m., from the causes and on the date stated above.
Date signed:  16 June 1955
Address:  Lackey, Kentucky
Signature:  Joseph B. DeLozier, M.D.
Burial, Cremation or Removal: Burial
Date:  11 June 1955
Name of Cemetery or Crematory: Combs Cemetery
Location:  Mousie, Ky.
Date received by local registrar: 22 June 1955
Registrar's Signature: Myrtle Slone
Funeral director & address:  John N. Taul, Mt. Sterling, Ky., Eastin-Richey Funeral Home
Transcribed by Debbie Tamborski, 14 May 2011