Death Records: Adair County KY Zelia BROCKMAN 01-Aug-1882 - 19-Oct-1918 Submitted By: Lou Keller LouLouBelleKell@aol.com Submission Date: 20-Aug-2005 Source: Photocopy of Death Certificate Surname: BROCKMAN Given Name(s): Zelia File#: 24413 Registered#: 23 Registration District#: 5009 Primary Registration District#: 9 Vote Precinct: White Oak Sex: Female Race: White Marital Status: Married Birth Date: 01-Aug-1882 Birth Place: Adair County, KY Death Date: 19-Oct-1918, 10 A.M. Age at Death: 36 years, 2 months, 18 days Occupation: Housewife Father’s Name: Unknown Father’s Birth Place: Unknown Mother’s Maiden Name: Zelia WHITEHEAD Mother’s Birth Place: Informant: Richard HARMON Informant’s Address: Sano, KY Physician: R.Y. HINDMAN, M.D. Physician’s Address: Columbia, KY Attended from: 17-Oct-1918 to: 18-Oct-1918 last seen alive: 18-Oct-1918 Date Signed: 08-Nov-1918 Date Filed: 08-Nov-1918, by A.J. COMBEST Cause of Death: Pneumonia Contributory Cause(s): Influenza (6 days) Date of Burial: 20-Oct-1918 Place of Burial: Free Union Undertaker: M.J. RICHARDS Address: Russellsping, KY SURNAMES: BROCKMAN, COMBEST, HARMON, HINDMAN, RICHARDS, WHITEHEAD *********************************************************************** USGENWEB NOTICE: In keeping with our policy of providing free information on the Internet, data may be freely used by non-commercial entities, as long as this message remains on all copied material. These electronic pages cannot be reproduced in any format for profit or other presentation. Commercial entities must ask for and receive permission from submittor before downloading. ***********************************************************************