|
DEATH
CERTIFICATE
BURNICE COLLINS
Date 13 January 1938
Cert: Duplicate # 1888 Original
# 1983
Name: Burnice COLLINS
Place of Death: Voting Pct. Upper Carr, Knott Co., KY
Residence: Bath, Ky.
Length of residence: (blank)
Female, White, Single
Husband or Wife of: Infant
Birth Date: 19 June 1937
Age: 06 months, 03 days
Occupation: (blank)
Place of Birth: Knott Co.
Name of Father: Hillard H. COLLINS
Birthplace Father: Knott Co.
Maiden Name of Mother: Oma COLLINS
Birthplace Mother: Knott
Informant: Hillard COLLINS, Bath, Ky.
Death Date: 13 January 1938
Cause of Death: Pneumonia Contriburtory:
Exposure to col.
Signed: (blank)
Burial Place: S. Amburgey
Date of Burial: 14 January 1938
Undertaker: (blank)
File Date: 18 January 1938
Registrar: H. Blair
Transcribed by Debbie Tamborski, 11 October 2009 |
|