Date:  15 April 1949
Cert:  10114 
Place of Death: County: Knott      City or Town: Dema
Length of stay (in this place):  (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky.     County:  Knott
City or Town:  Dema     Street Address: (blank)
Full Name:  Carroll Tipton COLLINS
Date of Death:  15 April 1949
Sex, Color or Race, Marital Status: Male, White, Single
Date of Birth:  23 October 1929
Age:  19 years
Usual Occupation:  (blank)
Kind of Industry or business: Construction
Birthplace:  Wayland, Ky.
Father's Name:  Tipton COLLINS
Mother's Maiden Name:  Mary COMBS
Was deceased ever in armed forces: No
Social Security No.: (blank)
Informant:  Mary COLLINS
Disease/condition directly leading to death: Internal Hemorrhage
Interval between onset and death:  (blank)
Due to:  Gunshot wound inflicted by father
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: Died instantly
Autopsy:  No
Accident, suicide, or homicide:  Homicide
Place of injury:  Home
City or Town, County, State: Dema, Knott, Ky.
Time of Injury: 15 April 1949
Injury occurred at work: (blank)
How did injury occur:  Revolver wound
I hereby certify that I attended deceased from 15 April 1949 to (blank), that I last saw the deceased alive on 15 April 1949, and that death occurred at 1:00 p.m., from the causes and on the date stated above.
Date signed:  16 April 1949
Address:  Martin, Ky.
Signature:  W. J. Ryan, Embalmer
Burial, Cremation or Removal:  17 April 1949
Date:  17 April 1949
Name of Cemetery or Crematory:  Turner Cemetery
Location:  Dema, Ky.
Date received by local registrar:  03 May 1949
Registrar's Signature:  Rose B. Craft
Funeral director & address:  G. D. Ryan, Martin, KY
Transcribed by Debbie Tamborski, 03 January 2011