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DEATH
CERTIFICATE
MALISSIE COLLINS
Date 03 May 1924
Cert: # 18798
Name: Malissie COLLINS
Place of Death: Voting Pct. Bathe, Knott Co., KY
Female, White, Married
Birth Date: 01 April 1886
Age: 38 years, 01 months, 02 days
Occupation: Housewife
Place of Birth: Kentucky
Name of Father: A. L. BREEDING
Birthplace Father: Kentucky
Maiden Name of Mother: Cora BREEDING
Birthplace Mother: (blank)
Informant: (blank)
Death Date: 03 May 1924
Cause of Death: Puerperal Septicemia
Signed: M. F. Kelley, M.D.
Burial Place: Collins Cemetery
Date of Burial: 04 May 1924
Undertaker: J. R. Collins. Bathe, Ky.
File Date: 10 September 1924
Transcribed by Debbie Tamborski, 13 December 2008 |
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