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DEATH
CERTIFICATE
MALCUM ADDAMS
Date 23 January 1922
Cert: # 1754
Name: Malcum ADDAMS
Male, White, Single
Age: 05 years, 13 days
Place of Death: Voting Precinct Pinetop, Knott Co., KY
Birth Date: 10 January 1917
Occupation: School Boy
Place of Birth: Knott Co., Ky.
Name of Father: Robert ADDAMS
Birthplace Father: Kentucky
Maiden Name of Mother: Sussie KING
Birthplace Mother: Kentucky
Informant: (blank)
Death Date: 23 January 1922
Cause of Death: Typhoid Fever
Signed: M. F. Kelley, M.D.
Burial Place: King Cemetery
Date of Burial: 28 January 1922
Undertaker: Robert Addams, Pinetop, Ky.
File Date: 30 January 1922
Transcribed by Debbie Tamborski, 05 December 2008 |
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