DEATH CERTIFICATE

POLLYAN ADDAMS

Date    15 February 1914
Deathvol Vol:   1914
Cert: # 11814
Name: Pollyan ADDAMS
Female, White, Single
Age: 23 years, 4 months, 15 days
Place of Death: Voting Pct. Hindman, Knott Co., KY
Birth Date: 01 October 1891
Place of Birth: Letcher Co., Ky.
Father: Joseph ADDAMS                                                   Birthplace Father: Kentucky
Mother: Sally SEXTON                                                       Birthplace Mother: (Blank)
Informant: (Blank)
Death Date: 15 February 1914
Cause of Death: Uxalthalmic Gaiten
Signed:  M. F. Kelley, M.D.
Burial Place: (Illegible)
Undertaker: Joe Addams, Hindman, Ky.
File Date: 11 May 1914
Transcribed by Debbie Tamborski, 24 July 2008