DEATH CERTIFICATE
DOVIE ADAMS

Date    29 June 1916
Cert: #  15890
Name:  Dovie ADAMS
Female, Colored, Child
Age:  1 years, 7 months
Place of Death: Knott Co., KY
Birth Date:  29 November 1914   
Place of Birth:  Knott Co., Ky.
Father:  Danial ADAMS                                                   Birthplace Father:  Letcher Co., Ky.
Mother:  Pheba WILLIAMS                                                       Birthplace Mother:  Knott Co., Ky.
Informant:  Ralph ADAMS, Ky.
Death Date:  29 June 1916
Cause of Death:  Liver Complaint
Signed:  F. C. Roark, M.D.
Burial Place:  Shade Smiths
Undertaker:  Danial Adams, Smithsboro, Ky.
File Date: 30 June 1916
Transcribed by Debbie Tamborski, 26 October 2008