DEATH CERTIFICATE

HARISON COLLINS, JR.

Date  11 December 1929
Cert: #  32448
Name:  Harison COLLINS, Jr.
Place of Death: Voting Pct., Knott Co., KY
Male, White, Single
Birth Date:  11 December 1929
Age:  (blank)
Occupation:  (blank)
Place of Birth:  Bath, Ky.
Name of Father:  Harison COLLINS
Birthplace Father:  Knott Co., Ky.
Maiden Name of Mother:  Martha HALL
Birthplace Mother:  Ky.
Informant:  (blank)
Death Date:  11 December 1929
Cause of Death:  Stillbirth
Signed: M. F. Kelley, M.D.
Burial Place:  Collins Cemetery
Date of Burial:  12 December 1929
Undertaker:  Harison Collins, Bath, Ky.
File Date:  27 December 1929
Transcribed by Debbie Tamborski, 12 December 2008