Date:   14 December 1941
Cert:   7073 
Place of Death: County: Knott     City or Town: Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County:  Knott
City or Town:  Rural
Full Name:  Lonnie Fay COLLINS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Single
Husband or Wife of:  (blank)
Age of husband or wife if alive:  (blank)
Birth date of deceased:  03 December 1941
Age: 11 days  
Birthplace:  P.O. Hindman
Occupation:  (blank)
Industry or business: (blank)
Father Name:  Blaine COLLINS
Father Birthplace:  Knott Co.
Mother Maiden Name:  Versa CAUDILL
Mother Birthplace:  Knott Co.
Informant:  Sarrah M. Haynes, Hindman, Ky.
Burial Place:  Hollybush
Date:  15 December 1941
Signature of funeral director: (blank)
Date received by local registrar:  17 February 1942
Registrar's Signature:  Ida Livingston
Date of Death:  14 December 1941
I hereby certify that I attended deceased from (blank) to (blank), that I last saw her alive on 03 December 1941, and that death occurred on the date stated above at 5:00 a.m.
Immediate cause of death:  unknown
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: (blank)
Date signed:  (blank)
Transcribed by Debbie Tamborski, 11 October 2010