Date:  30 March 1953
Cert:  10657 
Place of Death: County: Knott      City or Town: Smithsboro, Ky.
Length of stay (in this place): (blank)
Full name of Hospital or Institution:  (blank)
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town:  Smithsboro    If rural give location: (blank)
Full Name:  Michael Ray COLLINS
Date of Death:  30 March 1953
Sex, Color or Race, Marital Status: Male, White, Never Married
Date of Birth:  29 March 1953
Age: 05 hours, 00 minutes
Usual Occupation:  (blank)
Kind of Industry or business: (blank)
Birthplace:  Smithsboro, Ky.
Father's Name:  Orbin COLLINS
Mother's Maiden Name:  Ruie AMBURGEY
Was deceased ever in armed forces: No
Social Security No.: (blank)
Informant:  Parents
Disease or condition directly leading to death: underdevelopment
Interval between onset and death:  05 hours
Due to:  immaturity
Interval between onset and death:  05 hours
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy:  (blank)
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 29 March 1953 to same, that I last saw the deceased alive on 29 March 1953, and that death occurred at 4:00 a.m., from the causes and on the date stated above.
Date signed:  30 March 1953
Address:  Hindman, Ky.
Signature:  D. G. Barker, M.D.
Burial, Cremation or Removal:  Burial
Date:  03 March 1953
Name of Cemetery or Crematory:  Family Cemetery
Location:  Smithsboro, Ky.
Date received by local registrar: 30 March 1953
Registrar's Signature:  Rose B. Craft
Funeral director & address: (Family)
Transcribed by Debbie Tamborski, 07 February 2011