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DEATH
CERTIFICATE
JIMMIE COLLINS
Date 20 May 1936
Cert: 33629
Name: Jimmie COLLINS
Place of Death: Voting Pct. Middle Carr #2, Knott Co., KY
Residence: (blank)
Length of residence: (blank)
Male, White, Married
Husband or Wife of: Ada GIBSON
Birth Date: 04 April 1918
Age: 19 years
Occupation: Farmer
Place of Birth: Ky.
Name of Father: J. R. COLLINS
Birthplace Father: Ky.
Maiden Name of Mother: Malissa BANKS
Birthplace Mother: Ky.
Informant: Lula BREEDING, Redfox
Death Date: 20 May 1936
Cause of Death: Gan Green [sic]
Signed: (blank)
Burial Place: S. Amburgey
Date of Burial: 21 May 1936
Undertaker: Lulia Breeding, Cody, Ky.
File Date: 07 January 1937
Transcribed by Debbie Tamborski, 16 September 2009 |
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