DEATH CERTIFICATE

 RACHEL COLLINS

Date:   01 December 1943
Cert:   14391 
Place of Death: County: Knott     City or Town: Yellow Mountain, Ky.
Street No. or Location:  Rural
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky   County: Knott
City or Town:  Yellow Mountain, Ky.     Rural
Full Name:  Rachel COLLINS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Baby
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:  09 November 1943
Age: 22 days
Birthplace: Knott Co, Ky.
Occupation:  None
Industry or business: None
Father Name:  Rudolph COLLINS
Father Birthplace:  Knott Co., Ky.
Mother Maiden Name:  Fanny HICKS
Mother Birthplace:  Knott Co., Ky.
Informant:  Alafair COX, Yellow Mountain, Ky.
Burial Place:  Yellow Moutain at Sawyers Cem.
Date:  02 December 1943
Signature of funeral director: Dillard Ritchie, Ivis, Ky.
Date received by local registrar:  23 June 1944
Registrar's Signature:  Ida Livingston
Date of Death:  01 December 1943
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 (blank)
Immediate cause of death: No physician present.  The family reports that the child took suddenly ill and died before a physician could be had
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: J. W. Duke, M.D., Hindman, Ky.
Date signed:  16 June 1944
Transcribed by Debbie Tamborski, 20 October 2010