|
DEATH
CERTIFICATE
POIS COLLINS
Date 13 October 1935
Cert: 25265
Name: Pois COLLINS
Place of Death: Voting Pct. Middle Carr #3, Knott Co., KY
Residence: (blank)
Length of residence: (blank)
Male, White
Husband or Wife of: (blank)
Birth Date: 13 October 1935
Age: 05 hours
Occupation: (blank)
Place of Birth: Knott Co., Ky.
Name of Father: Valentin COLLINS
Birthplace Father: Handcock Co., Tenn.
Maiden Name of Mother: Caroline JONES
Birthplace Mother: Knott Co., Ky.
Informant: Clay COLLINS, Littcarr, Ky.
Death Date: 13 October 1935
Cause of Death: (unknown crossed through) premature
birth
Signed: (blank)
Burial Place: Old Carr Cemetery
Date of Burial: 14 October 1935
Undertaker: (blank)
File Date: 15 October 1935
Transcribed by Debbie Tamborski, 12 August 2009
|
|