DEATH CERTIFICATE

ALBERT COLLINS

Date  06 May 1921
Cert: #  15467
Name:  Albert COLLINS
Place of Death: Voting Pct. Ball, Vest, Knott Co., KY
Male, White, Single
Birth Date:  06 May 1915
Age:  06 years
Occupation:  (blank)
Place of Birth:  Knott Co.
Name of Father:  John COLLINS
Birthplace Father:  Knott Co.
Maiden Name of Mother:  Margarett HICKS
Birthplace Mother:  Knott Co. 
Informant:  (blank)
Death Date:  06 May 1921
Cause of Death:  Rheumatism
Signed: M. F. Kelley, M.D.
Burial Place: (blank)
Date of Burial:  07 May 1921
Undertaker:  Wes Hicks,  Yal Mt., Ky.
File Date:  15 July 1921
Transcribed by Debbie Tamborski, 13 December 2008