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DEATH
CERTIFICATE
ADA COLLINS
Date 26 November 1937
Cert: Original #7229 Duplicate
#4568
Name: Ada COLLINS
Place of Death:Vot Pct. #19 Lackey, Stumbo Mem.
Hosp., Knott Co., KY
Residence: Wayland, Ky.
Length of residence: (blank)
Female, White, Married
Husband or Wife of: (blank)
Birth Date: (blank)
Age: 23 years
Occupation: Domestic
Place of Birth: Magoffin County
Name of Father: Press TRIPLETT
Birthplace Father: Knott County
Maiden Name of Mother: Mary BALDRIDGE
Birthplace Mother: Floyd County
Informant: Lanzie TRIPLETT, Wayland, Ky.
Death Date: 26 November 1937
Cause of Death: Enlarged 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: 11 April 1938
Registrar: Dr. G. C. Collins, Lackey, Ky.
Transcribed by Debbie Tamborski, 23 September 2009 |
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