DEATH CERTIFICATE

ADAM TERRY

Date    06 January 1912
Deathvol
Vol:   1912
Cert: # 1936
Name: Adam TERRY
Male, White
Age: 3years, 11 months, 29 days
Place of Death: Voting Pct No. 2, Knott Co., KY
Birth Date: 07 January 1908
Place of Birth: Kentucky
Father: Samuel TERRY                                               Birthplace Father: Kentucky
Mother: Ruthie REYNOLDS                                                      Birthplace Mother: Kentucky
Informant: Samuel TERRY
Death Date: 06 January 1912
Cause of Death: Tuberculosis of kidneys
Signed:  Owen Pigman, M.D.
Burial Place: Not Listed
Undertaker: Not Listed
File Date: 09 January 1912
Transcribed by Debbie Tamborski, 18 June 2008