DEATH CERTIFICATE

ELVARA COLLINS

Date  24 April 1922
Cert: #  13842
Name:  Elvara COLLINS
Place of Death: Voting Pct. #6 Sassafras, Knott Co., KY
Female, White, Single
Birth Date:  10 April 1921
Age:  01 years, 14 days
Occupation:  None
Place of Birth:  Kentucky
Name of Father:  Troy COLLINS
Birthplace Father:  Kentucky
Maiden Name of Mother:  Ida SUMLER
Birthplace Mother:  Kentucky
Informant:  Troy COLLINS, Sassafras, Ky.
Death Date:  24 April 1922
Cause of Death:  Lobular pneumonia
Signed:  R. L. Kelly, M.D.  
Burial Place:  Lotts Creek
Date of Burial:  25 April 1922
Undertaker:  (blank), Elic, Ky.
File Date:  12 May 1922
Transcribed by Debbie Tamborski, 12 December 2008