Date: 15 April 1944
Cert: 18746
Place of Death: County: Knott City or
Town: Garner, Ky.
Street Number or Location: Rural
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Garner, Ky.
Street No.: Rural
Full Name: Frank COLLINS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of: none
Age of husband or wife if alive: (blank)
Birth date of deceased: 19 February 1920
Age: 24 years, 01 months, 26 days
Birthplace: Knott County, Ky.
Occupation: Farmer
Industry or business: Farming
Father Name: Alex COLLINS
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Virgie AMBURGEY
Mother Birthplace: Knott Co., Ky.
Informant: Reatha Sparkman, Garner, Ky.
Burial Place: Irishman Creek
Date: 17 April 1944
Signature of funeral director: Ray Sparkman, Garner, Ky.
Date received by local registrar: 07 August 1944
Registrar's Signature: Ida Livingston
Date of Death: 15 April 1944
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at (blank)
Immediate cause of death: Pulmonary
Tuberculosis of long standing
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: J. W. Duke, M.D., Hindman, Ky.
Date signed: 07 August 1944
Transcribed by Debbie Tamborski, 08 November 2010 |