DEATH CERTIFICATE
BESSIE COLLINS

Date    21 April 1917
Cert: #  14737
Name:  Bessie COLLINS
Female, White, Single
Age:  03 years, 11 days
Place of Death: Voting Precinct #2, Knott Co., KY  
Birth Date:  10 April 1914                        
Place of Birth:  Knott Co., Ky.                     
Father:  Silas COLLINS                                                Birthplace Father:  Kentucky
Mother:  Dora COMBS                                                       Birthplace Mother:  Kentucky
Informant:  (not listed)
Death Date:  21 April 1917
Cause of Death:  Burns on body
Signed:  M. F. Kelley, M.D.
Burial Place:  Amburgey Cemetery
Undertaker:  Silas Collins, Bath, Ky.
File Date: 10 June 1917
Transcribed by Debbie Tamborski, 30 October 2008