Death Records: Adair County KY William L. BROCKMAN 28-Nov-1839 to 17-May-1918 Submitted By: Lou Keller LouLouBelleKell@aol.com Submission Date: 20-Aug-2005 Source: Photocopy of Death Certificate Surname: BROCKMAN Given Name(s): William L. File#: 12185 Registered#: Registration District#: 5008 Primary Registration District#: 5008 Vote Precinct: No. 8 Sex: Male Race: White Marital Status: Married Birth Date: 28-Nov-1839 Birth Place: Russell County, KY Death Date: 17-May-1918, 4 P.M. Death Place: Glensfork, Adair County, KY Age at Death: 78 years, 5 months, 26 days (sic) Occupation: Merchant Father’s Name: Cary BROCKMAN Father’s Birth Place: KY Mother’s Maiden Name: Rebecca PURKINS Mother’s Birth Place: KY Informant: Hattie Upton Informant’s Address: Bowling Green, KY Physician: B.J. BOLISS, M.D. Physician’s Address: Glensfork, KY Attended from: 22-Apr-1918 to: 17-May-1918 last seen alive: 17-May-1918 Date Signed: 18-May-1918 Date Filed: 19-May-1918, by L.C. BLAIR Cause of Death: Uraemic Poisoning (20 days) Contributory Cause(s): Enlarged Prostate Date of Burial: 20-May-1918 Place of Burial: Columbia, KY Undertaker: J. B. JONES Address: Columbia, KY SURNMAES: BLAIR, BOLISS, BROCKMAN, JONES, PURKINS *********************************************************************** 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. ***********************************************************************