North Carolina Death Certificates, 1909-1975
Name: Forrest Farmer Adams
Gender: Male
Race: White
Age: 57
Marital status: Married
Occupation: City of Durham, Filter Plant Operator
Birth Date: 9 Oct 1909
Birth Place: Harnett, North Carolina, United States
Death Date: 17 Jan 1967
Death Location: Durham, Durham
Spouse's Name: Claudia Roberts Adams
Father's Name: Arthur Adams
Mother's Name: Lalon Matthews
Residence: Durham, Durham, North Carolina
Cause of death: Acute coronary occlusion, arteriosclerosis with coronary insufficiency, cardiac decompensation due to pulmonary fibroses
Informant: Mrs Claudia R Adams, 903 W Club Blvd, Durham NC
Name: Forrest Farmer Adams
Gender: Male
Race: White
Age: 57
Marital status: Married
Occupation: City of Durham, Filter Plant Operator
Birth Date: 9 Oct 1909
Birth Place: Harnett, North Carolina, United States
Death Date: 17 Jan 1967
Death Location: Durham, Durham
Spouse's Name: Claudia Roberts Adams
Father's Name: Arthur Adams
Mother's Name: Lalon Matthews
Residence: Durham, Durham, North Carolina
Cause of death: Acute coronary occlusion, arteriosclerosis with coronary insufficiency, cardiac decompensation due to pulmonary fibroses
Informant: Mrs Claudia R Adams, 903 W Club Blvd, Durham NC
North Carolina Death Certificates, 1909-1975
Name: Forrest Farmer Adams
Gender: Male
Race: White
Age: 57
Marital status: Married
Occupation: City of Durham, Filter Plant Operator
Birth Date: 9 Oct 1909
Birth Place: Harnett, North Carolina, United States
Death Date: 17 Jan 1967
Death Location: Durham, Durham
Spouse's Name: Claudia Roberts Adams
Father's Name: Arthur Adams
Mother's Name: Lalon Matthews
Residence: Durham, Durham, North Carolina
Cause of death: Acute coronary occlusion, arteriosclerosis with coronary insufficiency, cardiac decompensation due to pulmonary fibroses
Informant: Mrs Claudia R Adams, 903 W Club Blvd, Durham NC
Name: Forrest Farmer Adams
Gender: Male
Race: White
Age: 57
Marital status: Married
Occupation: City of Durham, Filter Plant Operator
Birth Date: 9 Oct 1909
Birth Place: Harnett, North Carolina, United States
Death Date: 17 Jan 1967
Death Location: Durham, Durham
Spouse's Name: Claudia Roberts Adams
Father's Name: Arthur Adams
Mother's Name: Lalon Matthews
Residence: Durham, Durham, North Carolina
Cause of death: Acute coronary occlusion, arteriosclerosis with coronary insufficiency, cardiac decompensation due to pulmonary fibroses
Informant: Mrs Claudia R Adams, 903 W Club Blvd, Durham NC
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