DEATH CERTIFICATE

BETTIE SUSAN COLLINS

Date:    20 January 1945
Cert:    03959 
Place of Death: County: Knott   City or Town:  Rural Anco
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: 01 day
Usual Residence of Deceased: State: Ky.      County:  Knott
City or Town:  Anco 
Full Name:  Bettie Susan COLLINS 
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status:  Female, White, Single
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:   20 January 1945
Age:  01 days
Birthplace:   Anco, Ky.
Occupation:  None 
Industry or business: (blank)
Father Name:  Sam COLLINS 
Father Birthplace:  West Virginia 
Mother Maiden Name:  Ann ZBACNIK 
Mother Birthplace:  Anco, Ky. 
Informant:  Dr. J. R. AKER, Anco, Ky. 
Burial Place:  (blank) 
Date:  (blank) 
Signature of funeral director:  (blank)
Date received by local registrar: (blank) 
Registrar's Signature:  (blank)
Date of Death:   20 January 1945
I hereby certify that I attended deceased from (blank) to (blank), that I last saw him alive on (blank), and that death occurred on the date stated above at (blank)
Immediate cause of death:  Strangulation from fluid in lungs 
Duration: (blank)
Due to:  (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work:  (blank)
Means of injury: (blank)
Signature & Address:  J. R. Aker, M.D., Anco, Ky.
Date signed:  24 February 1945 
Transcribed by Debbie Tamborski, 26 November 2010