Elmer Elsworth Adams

Donated by Virginia Adams Pierce

County of Union, Dist. No. 7865

Township or Road District #3

Registered No. 9

Full Name: Elmer Elsworth ADAMS

Length of residence in city or town where death occurred: 55 yrs. 2 mos. 1 ds.

Sex: Male

Color or Race: White

Marital Status: Widowed

Spouse's Name: Mary ADAMS

Date of Birth: Sept. 7, 1877

Age: 55 Years, 2 Months, 1 Day

Occupation of Deceased: Farmer

Birthplace: Moscow, Ill. (Union County)

Name of Father: Benjamin ADAMS

Birthplace of Father: Unknown

Mainden Name of Mother: Cathrine WEAVER

Birthplace of Mother: Illinois

Informant: Willis ADAMS

Address: Buncombe, Ill.

Filed: Dec. 1, 1932

Arty KELLER

P. O. Address: Dongola, Ill.

Date of Death: Nov. 8, 1932

I HEREBY CERTIFY, That I attended deceased from June 20, 1932 to Nov. 8, 1932, that I last saw him alive on Nov. 6, 1932, and that death occurred, on the date stated above, at 5:15 A. M. The CAUSE OF DEATH was as follows:

Cirrhosis of Liver

Duration: 6 Mos.

Was an operation performed? No

Was there an autopsy? No

Signed: P. W. ROSE

Address: Vienna, Ill.

Date: Nov. 9, 1932

Place of Burial or Removal: Mt. Zion Cemetery

Date of Burial: Nov. 9, 1932

Undertaker: E. J. FORD

Address: Dongola

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