DEATH
CERTIFICATE
OLLIE COLLINS
Date 14 February 1923
Cert: # 8625
Name: Ollie COLLINS
Place of Death: Voting Pct. Bath, Knott Co., KY
Female, White, Single
Birth Date: 10 March 1922
Age: 11 months, 04 days
Occupation: None
Place of Birth: Knott Co., Ky.
Name of Father: J. R. COLLINS
Birthplace Father: Knott Co., Ky.
Maiden Name of Mother: Lissie ISON
Birthplace Mother: Letcher Co., KY
Informant: (blank)
Death Date: 14 February 1923
Cause of Death: lobar pneumonia
Signed: M. F. Kelley, M.D.
Burial Place: Amburgey Cemetery
Date of Burial: 15 February 1923
Undertaker: J. R. Collins, Bath, Ky.
File Date: 10 April 1923
Transcribed by Debbie Tamborski, 13 December 2008 |
|