Date:  14 February 1952
Cert:  05682 
Place of Death: County: Knott      City or Town:  Rural
Length of stay (in this place): 03 years
Street address or location:  Mousie, Ky.
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town: Rural     If rural give precinct:  Mousie, Ky.
Full Name:  John COLLINS
Date of Death:  14 February 1952
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth:  29 January 1880
Age:  72 years
Usual Occupation: Farmer
Kind of Industry or business: Farming
Birthplace:  Knott Co., Ky.
Father's Name:  Will COLLINS
Mother's Maiden Name:  Martha SMITH
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  Family
Disease or condition directly leading to death:  Pneumonia
Due to:  Bronchiectasis
Interval between onset and death:  06 years
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy:  (blank)
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 02 November 1946 to 14 February 1952, that I last saw the deceased alive on 14 February 1952, and that death occurred at 2:00 a.m., from the causes and on the date stated above.
Date signed:  10 March 1952
Address:  Lackey, Ky.
Signature:  C. M. Aker, M.D.
Burial, Cremation or Removal:  Burial
Date:  16 February 1952
Name of Cemetery or Crematory:  Gayheart Cemetery
Location:  Softshell, Ky.
Date received by local registrar: 13 March 1952
Registrar's Signature:  Mrs. Rose B. Craft
Funeral director & address:  John N. Taul, Hindman Funeral Home, Hindman, Ky. 
Transcribed by Debbie Tamborski, 22 January 2011