DEATH CERTIFICATE

BETTY SUSAN COLLINS

Date:    20 January 1945
Cert:    06253
Place of Death: County: Knott   City or Town:  Rural 
Street Number or Location:  Home, Sassafras, Ky.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County:  Knott
City or Town:  Rural
Full Name:  Betty 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:   (blank)
Age:  07 hours, 45 minutes
Birthplace:   Knott Co., Ky.
Occupation:  None 
Industry or business: (blank)
Father Name:  Sam COLLINS 
Father Birthplace:  Knott Co., Ky.
Mother Maiden Name:  Ann ZBACAIK 
Mother Birthplace:  Knott Co., Ky.
Informant:  Sam COLLINS, Sassafras, Ky.
Burial Place:  Cornett Hill
Date:  21 January 1945
Signature of funeral director: Maggards, Hazard, Ky.
Date received by local registrar: 21 March 1945
Registrar's Signature:  Rose B. Craft
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 due to 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:  22 January 1945 
Transcribed by Debbie Tamborski, 26 November 2010