DEATH CERTIFICATE
MATTIE COLLINS

Date    21 April 1917
Cert: #  35216
Name:  Mattie COLLINS
Female, White
Age:  05 years
Place of Death: Voting Precinct #2, Knott Co., KY  
Birth Date:  (not listed)                       
Place of Birth:  Ky.                   
Father:  Siles COLLINS                                               Birthplace Father:  Ky.
Mother:  Dora COMBS                                                       Birthplace Mother:  Ky.
Informant:  Curtis AMBURGEY, Bath, Ky.
Death Date:  21 April 1917
Cause of Death:  Burnt to death
Signed:  (not listed)
Burial Place:  Semore Amburgey
Undertaker:  (not listed)
File Date: 10 May 1917
Transcribed by Debbie Tamborski, 30 October 2008