DEATH CERTIFICATE
(stillbirth) COLLINS

Date    10 February 1915
Deathvol Vol:   1915
Cert: #  4656
Name:  (stillbirth) COLLINS
Female, White, Single
Age:  stillbirth
Place of Death: Voting Pct. No. 10, Drycreek, Knott Co., KY
Birth Date:  15 February 1915 (transcribed as written)                            
Place of Birth:  Ky.
Father:  Allen COLLINS                                                  Birthplace Father:  Ky.
Mother:  Florence BATES                                                       Birthplace Mother:  Ky.
Informant:  Allen COLLINS, Drycreek, Ky.
Death Date:  10 February 1915(transcribed as written)
Cause of Death:  Premature birth cause by fall--stillbirth
Signed:  (Blank)
Burial Place:  A. J. Johnson Graveyard
Undertaker:  Allen Collins, Drycreek, Ky.
File Date: 10 March 1915
Transcribed by Debbie Tamborski, 31 July 2008