Death Records: Adair County KY Josephine BROCKMAN 20-Dec-1857 to 11-Aug-1930 Submitted By: Lou Keller LouLouBelleKell@aol.com Submission Date: 20-Aug-2005 Source: Photocopy of Death Certificate Surname: BROCKMAN Given Name(s): Josephine File#: 18581 Registered#: Registration District#: Primary Registration District#: 12 Vote Precinct: Egypt Sex: Female Race: White Marital Status: Widowed Birth Date: 20-Dec-1857 Birth Place: Death Date: 11-Aug-1930 Age at Death: 72 years, 7 months, 11 days (sic) Occupation: Housewife Father’s Name: Ben GRANT Father’s Birth Place: KY Mother’s Maiden Name: Elizabeth BANKS Mother’s Birth Place: KY Informant: Eleanor BROCKMAN Informant’s Address: (illegible) Physician: W. FLOWER Physician’s Address: Columbia, KY Attended from: 07-Aug-1930 to: 11-Aug-1930 last seen alive: 11-Aug-1930 Date Signed: 12-Aug-1930 Date Filed: 01-Sep-1930, by R.C. WILLINGHAM Cause of Death: Acute Septic Endocarditis (5 days) Contributory Cause(s): Exhaustion for exposure to heat a week before death Date of Burial: 13-Aug-1930 Place of Burial: (illegible) Undertaker: M.L. GRISSOM Address: Columbia, KY SURNAMES: BANKS, BROCKMAN, FLOWER, GRANT, GRISSOM, WILLINGHAM *********************************************************************** 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. ***********************************************************************