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 |
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