|
DEATH
CERTIFICATE
Not named (Stillborn) COLLINS
Date 23 October 1936
Cert: 33609
Name: Not named (Stillborn) COLLINS
Place of Death: Voting Pct. Rock Fork, Bolyn, Knott Co., KY
Residence: (blank)
Length of residence: (blank)
Male, White, Single
Husband or Wife of: (blank)
Birth Date: 23 October 1936
Age: (blank)
Occupation: (blank)
Place of Birth: Bolyn, Ky.
Name of Father: Lester COLLINS
Birthplace Father: Soft Shell, Ky., Knott Co.
Maiden Name of Mother: Ethel CHAFINS
Birthplace Mother: Bolyn, Ky., Knott Co.
Informant: Lester COLLINS, Garrett, Ky.
Death Date: 23 October 1936
Cause of Death: Pressure on umbilical cord before
birth
Signed: Mark Dempsey, M.D., Garrett, Ky.
Burial Place: Bolyn, Ky.
Date of Burial: 24 October 1936
Undertaker: none
File Date: 13 December 1936
Transcribed by Debbie Tamborski, 16 September 2009 |
|