DEATH CERTIFICATE
DORA COLLINS

Date    04 December 1915
Deathvol Vol:   1915
Cert: #  30760
Name:  Dora COLLINS
Female, White
Age:  (Blank)
Place of Death: Voting Pct. No. 2, Knott Co., KY
Birth Date:  20 December 1979                      
Place of Birth:  Knott Co., Ky.
Father:  Hamilton GIBSON                                                 Birthplace Father:  Va.
Mother:  Polley AMBURGEY                                                  Birthplace Mother:  Letcher Co., Ky.
Informant:  Dewey COLLINS, Bath, Ky.
Death Date:  04 December 1915
Cause of Death:  Pneumonia fever
Signed:  (Blank)
Burial Place:  Semore Amburgey
Undertaker:  (Blank)
File Date: 12 December 1915
Transcribed by Debbie Tamborski, 31 July 2008