Death Records: Adair County KY Josephine BROCKMAN 29-Jul-1867 to 16-Mar-1948 Submitted By: Lou Keller LouLouBelleKell@aol.com Submission Date: 20-Aug-2005 Source: Photocopy of Death Certificate Surname: BROCKMAN Given Name(s): Josephine File#: 4272 Registrar’s#: 29 Registration District#: 1 Primary Registration District#: 3901 Sex: Female Race: White Marital Status: Widowed Birth Date: 29-Jul-1867 Birth Place: KY Death Date: 16-Mar-1948, P.M. Death Place: rural West Cane Valley, Adair County, KY Age at Death: 80 years, 7 months, 16 days Occupation: Housewife Father’s Name: Robert POLLARD Father’s Birth Place: KY Mother’s Maiden Name: Mary Elizabeth LEE Mother’s Birth Place: KY Informant: Mrs. W.E. WILCOXSON Informant’s Address: Columbia, KY Physician: B.J. Bef..., M.D. Physician’s Address: Columbia, KY Attended from: to: last seen alive: Date Signed: (illegible) Date Filed: 18-Mar-1948, by Susan MILLER Cause of Death: Acute Cardian Dilatation Contributory Cause(s): Chronic Myocarditis Date of Burial: 18-Mar-1948 Place of Burial: Family Cemetery Undertaker: Grissom Funeral Home Address: Columbia, KY SURNAMES: BROCKMAN, LEE, MILLER, POLLARD, WILCOXSON *********************************************************************** 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. ***********************************************************************