NOBLE COUNTY DEPARTMENT OF HEALTH SUITE C, VITAL RECORDS 2090 N STATE RD 9 ALBION, IN 46701 DEATH RECORD INFORMATION SHEET
	Vol: K1                                                   Local:                                                        Page:  12 NAME: David Adams                                  OCCUPATION: Stone Mason WIFE:   Mary L. Adams DATE OF DEATH: 11 Feb 1916                    AGE:   78 yrs. 10 mo. 25 d. DATE OF BIRTH: 22 Apr 1837                     PLACE:   Ohio PLACE OF DEATH:  Kendallville CAUSE OF DEATH: Fracture of hip and back (Complication - clinical pneumonia) MOTHER’S NAME AND PLACE OF BIRTH: Esther Sayles - New York FATHER’S NAME AND PLACE OF BIRTH:  Edward Adams - New York UNDERTAKER: CEMETERY:   (Remarks: )
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