DEATH CERTIFICATE

JOHN COLLINS

Date    02 September 1919
Cert: #  25902
Name:  John COLLINS
Male, White, Single
Age:  13 years, 0 months, 07 days
Place of Death: Voting Precinct #2, Spider, Knott Co., KY  
Birth Date:  25 August 1906                              
Place of Birth:  Kentucky                   
Father:  J. R. COLLINS                                               Birthplace Father:  Kentucky
Mother:  Malisa BREEDING                                                     Birthplace Mother:  Kentucky
Informant:  (not listed)
Death Date:  02 September 1919
Cause of Death:  Dysentery or bloody flux
Signed:  M. F. Kelley, M.D.
Burial Place:  Amburgey Cemetery
Undertaker:  J. R. Collins, Spider, Ky.
File Date: 10 November 1919
Transcribed by Debbie Tamborski, 30 October 2008