Date:  23 May 1940
Cert:  12868
Place of Death: County: Knott     City or Town: Redfox
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town:  Redfox
Full Name:  David Lee WILLIAMS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, Colored, Single
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:  (illegible) May 1940
Age: (illegible) days
Birthplace:  Knott
Occupation:  (blank)
Industry or business: (blank)
Father Name:  Goodlow ADAMS
Father Birthplace:  Knott
Mother Maiden Name:  Ola WILLIAMS
Mother Birthplace:  Knott
Informant:  Mary MARTIN, Cody, Ky.
Burial Place:  Cody
Date:  24 May 1940
Signature of funeral director:  (blank)
Date received by local registrar:  31 May 1940
Registrar's Signature:  Macie Miller
Date of Death:  23 May 1940
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:  Premature birth
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address:  J. W. Duke, M.D.
Date signed:  (blank)
Transcribed by Debbie Tamborski, 07 October 2010