Date: 20 April 1951
Cert: 07866
Place of Death: County: Knott
City or Town: (blank)
Length of stay (in this place): 20 years
Street address or location: Hindman, Ky.
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: (blank) Street
Address: Hindman, Ky.
Full Name: John Lee COLLINS
Date of Death: 20 April 1951
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 24 April 1898
Age: 52 years
Usual Occupation: Gas employee
Kind of Industry or business: Gas line man
Birthplace: Knott Co., Ky.
Father's Name: Nathaniel COLLINS
Mother's Maiden Name: Eliza PARKS
Was deceased ever in armed forces: (blank)
Social Security No.: 401-01-8933
Informant: Grover COLLINS
Disease or condition directly leading to death: cachexia
Interval between onset and death: (blank)
Due to: Pulmonary tuberculosis
Interval between onset and death: unknown
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
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 30 June 1949 to
20 April 1951, that I last saw the deceased alive on 18 April
1951, and
that death occurred at 9 p.m., from the causes and on the
date stated above.
Date signed: 23 April 1951
Address: Hindman, Ky.
Signature: D. G. Barker, M.D.
Burial, Cremation or Removal: Burial
Date: 22 April 1951
Name of Cemetery or Crematory: Family Cemetery
Location: Hindman, Ky.
Date received by local registrar: 23 April 1951
Registrar's Signature: Rose B. Craft
Funeral director & address: John N. Taul, Hindman,
Ky.
Transcribed by Debbie Tamborski, 18 January 2011 |