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DEATH
CERTIFICATE
ELVIRA B. COLLIER
Date: 18 February 1951
Cert: 05556
Place of Death: County: Letcher City or Town:
Democrat
Length of stay (in this place): (blank)
Name of Hospital or Institution: at Home
Usual Residence of Deceased: State: Ky. County:
Letcher
City or Town: Democrat
Street Address: Indian Creek
Full Name: Elvira B. COLLIER
Date of Death: 18 February 1951
Sex, Color or Race, Marital Status: Female, White, Widowed
Date of Birth: 11 May 1904
Age: 46 years, 09 months, 07 days
Usual Occupation: House work
Kind of Industry or business: Home
Birthplace: Knott Co., Ky.
Father's Name: ----BURKES (transcribed as written)
Mother's Maiden Name: ? (transcribed as written)
Was deceased ever in armed forces: no
Social Security No.: (blank)
Informant: Robert B. COLLINS (County Judge)
Disease/condition directly leading to death: Cerebral
Hemorrhage
Interval between onset and death: 06 months
Due to (b): Hypertensive Heart Disease
Due to (c): Luetic Heart Disease? (been to KTC. -
Louisville Hospital) (transcribed as written)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: no
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from time to time
would treat her, that I last saw the deceased alive on (blank), and
that death occurred at 7 a.m., from the causes and on the
date stated above.
Date signed: 05 March 1951
Address: Whitesburg, Ky.
Signature: R. D. Collins, M.D.
Burial, Cremation or Removal: Burial
Date: 19 February 1951
Name of Cemetery or Crematory: Bates Cemetery
Location: Democrat, Ky.
Date received by local registrar: 05 March 1951
Registrar's Signature: G. W. Collins
Funeral director & address: Friends & Family,
Democrat, Ky.
Transcribed by Debbie Tamborski, 22 July 2010 |
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