Death Records: Adair County KY George Alferd BROCKMAN 13-Sep-1862 to 07-Jan-1934 Submitted By: Lou Keller LouLouBelleKell@aol.com Submission Date: 20-Aug-2005 Source: Photocopy of Death Certificate Surname: BROCKMAN Given Name(s): George Alferd File#: 2659 Registered#: 1 Registration District#: 3907 Primary Registration District#: 2 Vote Precinct: (illegible) Sex: Male Race: White Marital Status: Married Birth Date: 13-Sep-1862 Birth Place: KY Death Date: 07-Jan-1934, 7 A.M. Death Place: Adair County, KY Age at Death: 71 years, 3 months, 24 days (sic) Occupation: Farmer Father’s Name: James BROCKMAN Father’s Birth Place: KY Mother’s Maiden Name: Mary Elizabeth ROACH Mother’s Birth Place: KY Informant: L.P. BROCKMAN Informant’s Address: (illegible) Physician: Chas. M. RUSSELL, M.D. Physician’s Address: Columbia, KY Attended from: 1929 to: Jan-1934 last seen alive: 01-Jan-1934 Date Signed: Date Filed: Cause of Death: Organic Dis. of Heart Contributory Cause(s): Date of Burial: 08-Jan-1934 Place of Burial: Polland Graveyard Undertaker: M.L. GRISSOM Address: Columbia, KY SURNAMES: BROCKMAN, GRISSOM, ROACH, RUSSELL *********************************************************************** 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. ***********************************************************************