Date:   09 January 1942
Cert:   01765 
Place of Death: County: Knott     City or Town:  May
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town:  May     Rural
Full Name:  Henderson COLLINS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of:  Liza COLLINS
Age of husband or wife if alive:  49 years
Birth date of deceased:  18 May 1876
Age: 65 years, 07 months, 21 days
Birthplace:  Owelsly Co., Ky.
Occupation:  Mail Carrier
Industry or business: (blank)
Father Name:  Hazel COLLINS
Father Birthplace:  Owelsly Co.
Mother Maiden Name:  Sarah MULLINS
Mother Birthplace:  Owelsly Co., Ky.
Informant:  Liza COLLINS, May, Ky.
Burial Place:  May, Ky.
Date:  10 January 1942
Signature of funeral director: Cooper COLLINS, May, Ky.
Date received by local registrar:  (blank)
Registrar's Signature:  (blank)
Date of Death:  09 January 1942
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:  Heart failure     died suddenly
Duration: (blank)
Due to: Heart failure no physician was called
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: (blank)
Date signed:  (blank)
Transcribed by Debbie Tamborski, 17 October 2010