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DEATH
CERTIFICATE
CAROLINE COLLINS
Date 06 October 1925
Cert: 00912
Place of Death: Voting Precinct: Wayland, Floyd Co., Ky.
Full Name: Caroline COLLINS
Sex, Color or Race, Marital Status: Female, White,
Widowed
Date of Birth: 14 September 1857
Age: 68 years, 01 months, 12 days
Occupation: (Farming) housewife
Birthplace: Knott
Name of Father: Bill TERRY
Birthplace Father: Ky.
Maiden name of Mother: Mindy COMBS
Birthplace Mother: Ky.
Informant/Address: (blank)
Filed: (blank)
Registrar: G. S. Howard
Death Date: 06 October 1925
I hereby certify that I attended deceased from 05 October 1925, to
(blank), that I last saw h-- alive on 05 October 1925 11:30
a.m., and that death occurred, on the date stated above, at
3:30 p.m.
Cause of Death: apoplexy
Duration: 01 day
Contributory: High Blood Pressure
Signed/Address: Ernest E. Martin, M.D., 07 January
1926, Wayland, Ky.
Length of residence where disease contracted: (blank)
Former or usual residence: (blank)
Place of Burial or Removal: Wayland, Ky.
Date of Burial: 07 October 1925
Undertaker/Address: (blank)
Transcribed by Debbie Tamborski, 21 March 2010 |
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