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DEATH
CERTIFICATE
JAMES COLLINS
Date 26 May 1936
Cert: 14318
Place of Death: Voting Pct.: Fleming, Letcher Co., Ky.
Full Name: James COLLINS
Residence: Neon, Ky.
Length of Residence: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Ada COLLINS
Date of Birth: (blank)
Age: 28 years
Occupation: Coal Miner
Birthplace: Knott County, Ky.
Father Name: James R. COLLINS
Birthplace Father: Letcher Co., Ky.
Mother Maiden Name: Lissie BREEDING
Birthplace Mother: Letcher Co., Ky.
Informant/Address: Ada COLLINS, Neon, Ky.
Burial Cremation Removal Place: Burial - Breedings Creek, Ky.
Date: 28 May 1936
Undertaker/Address: Johnson Funeral Home,
Whitesburg, Kentucky
Filed: 27 May 1936
Registrar: Nerva B. Howard
Death of Date: 26 May 1936
I hereby certify, That I attended deceased from 22 March 1936 to
26 May 1936, that I last saw him alive on 26 May 1936, death is said
to have occurred on the date stated above, at 6:17 p.m.
Cause of Death: Blood stream infection
beginning from lesion in nose
Date of onset: 22 March
Contributory causes: Brain abscess, Pneumonia, Arthritis
Name of operation: (blank)
Accident, suicide, homicide: (blank)
Date of Injury: (blank)
Where did injury occur: (blank)
Specify whether injury occurred industry, home, public place:
Manner of injury: (blank)
Nature of injury: (blank)
Related to occupation: (blank)
Signed/Address: H. R. Skaggs, M.D., Fleming, Ky.
Transcribed by Debbie Tamborski, 18 April 2010 |
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