DEATH CERTIFICATE

CARA BOLLEN

Date    17 July 1914
Deathvol Vol:   1914
Cert: # 18839
Name: Cara BOLLEN
Female, White
Age: 25 years, 4 months, 3 days
Place of Death: Voting Pct. No. 2, Knott Co., KY
Birth Date: 20 November 1889
Place of Birth: Knott Co., Ky.
Father: Hazle COLLINS                                                  Birthplace Father: Tenn.
Mother: Sarah COLLINS                                                      Birthplace Mother: Tenn.
Informant: G. E. COLLINS, Nealy, Ky.
Death Date: 17 July 1914
Cause of Death: Tuberculosis
Signed:  (Blank)
Burial Place: W. S. Amburgey
Undertaker: (Blank)
File Date: (Illegible) 1914
Transcribed by Debbie Tamborski, 24 July 2008