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DEATH
CERTIFICATE
ADA COLLINS
Date 26 December 1937
Cert: Duplicate #4568 Original
#7229
Name: Ada COLLINS
Place of Death: Voting Pct. #19 Lackey, St. M.
Hosp., Knott Co., KY
Residence: Wayland, Ky.
Length of residence: (blank)
Female, White, Married Widowed
Husband or Wife of: (blank)
Birth Date: (blank)
Age: 23 years
Occupation: Housekeeper
Place of Birth: Magoffin Co.
Name of Father: Press TRIPLETT
Birthplace Father: Knott Co.
Maiden Name of Mother: Mary BALDRIDGE
Birthplace Mother: Floyd Co.
Informant: Elonzo TRIPLETT, Wayland, Ky.
Death Date: 26 December 1937
Cause of Death: Enlarged Heart, Fluid around the Heart
Signed: W. L. Stumbo, M.D., Lackey, Ky.
Burial Place: Wayland, Ky.
Date of Burial: 27 December 1937
Undertaker: G. D. Ryan, Martin, Ky.
File Date: 28 February 1938
Registrar: Dr. G. C. Collins, Lackey, Ky.
Transcribed by Debbie Tamborski, 23 September 2009 |
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