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DEATH
CERTIFICATE
NEVADA COLLIER
Date 19 August 1932
Cert: 19623
Place of Death: Voting Pct. Jack Horn, Letcher Co., Ky.
Full Name: Nevada COLLIER
Residence: (blank)
Length of Residence: (blank)
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: Stevie COLLIER
Date of Birth: (blank)
Age: 39 years
Occupation: Housewife own home
Birthplace: Cars Fork, Ky., Knot Co.
Father Name: Robert HONEYCUTT
Birthplace Father: (blank)
Mother Maiden Name: Cora RICHIE
Birthplace Mother: (blank)
Informant/Address: Wilburn HONECUTT, Jack Horn, Ky.
Burial Cremation Removal Place: Millstone, Ky.
Date: 20 August 1932
Undertaker/Address: None
Filed: 23 August 1932
Registrar: Gertrude Clements
Death of Date: 19 August 1932
I hereby certify, That I attended deceased from about December
1931 to day of death 1932, that I last saw her alive on 19
August 1932, death is said to have occurred on the date stated
above, at 10:30 a.m.
Cause of Death: Auricular fiberlations had a nodular goiter
Date of onset: (blank)
Contributory causes: (blank)
Name of operation: (blank)
Accident, suicide, homicide: (blank)
Date of Injury: (blank)
Where did injury occur: (blank)
Specify whether injury occurred industry, home, public place:
Manner of injury: (blank)
Nature of injury: (blank)
Related to occupation: (blank)
Signed/Address: Virgil Skaggs, M.D., Fleming, Ky.
Transcribed by Debbie Tamborski, 31 March 2010 |
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