Date:    06 November 1947
Cert:    28506 
Place of Death: County: Knott   City or Town: Smithsboro, Ky.  Rural 
Name of Hospital or Institution: None
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town:  Smithsboro 
Full Name:  Mary Iva COLLINS 
If Veteran Name War: None
Social Security No.:  None
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of:  Marvin COLLINS
Age of husband or wife if alive: 37 years
Birth date of deceased:  27 December 1915 
Age:  31 years, 10 months, 09 days
Birthplace:  Knott County, Ky. 
Occupation:  Housewife 
Industry or business:  Home
Father Name:  Shade SMITH 
Father Birthplace:  Knott County, Ky. 
Mother Maiden Name:   Martha AMBURGY 
Mother Birthplace:   Knott County, Ky. 
Informant:  Marvin COLLINS, Smithsboro, Ky. 
Burial Place:   Smithsboro 
Date:  08 November 1947 
Signature funeral director: Maggard Blair & Garrett, Hazard, Ky.
Date received by local registrar:   12 January 1948
Registrar's Signature:  Rose B. Craft
Date of Death:  06 November 1947 
I hereby certify that I attended deceased from (blank) to (blank), that I last saw him alive on (blank), and that death occurred on the date stated above at 5:15 p.m.
Immediate cause of death:  Coronary Thrombosis 
Duration: (blank)
Due to:  (blank)
Major findings of operations: (blank)     Of Autopsy:  No
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work:  (blank)
Means of injury: (blank)
Signature & Address:  A. B. Pigman, M.D., Allock
Date signed:  10 November 1947 
Transcribed by Debbie Tamborski, 16 December 2010