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DEATH
CERTIFICATE
ROBERT COLLINS
Date: 22 March 1950
Cert: 08074
Place of Death: County: Letcher City or Town:
Colson, Ky.
Length of stay (in this place): (blank)
Name of Hospital or Institution: Coal Mine
Usual Residence of Deceased: State: Ky. County:
Knot
City or Town: May, Kentucky Street Address: (blank)
Full Name: Robert COLLINS
Date of Death: 22 March 1950
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 21 June 1925
Age: 24 years, 09 months, 01 days
Usual Occupation: Miner
Kind of Industry or business: Holbrook & Duncil
Birthplace: Knot Co., Ky.
Father's Name: Henderson COLLINS
Mother's Maiden Name: Lizzie COOK
Was deceased ever in armed forces: (blank)
Social Security No.: 405-30-9655
Informant: Mrs. Lonnie GIBSON (wife)
Disease or condition directly leading to death: Crushed
skull
Interval between onset and death: Instant
Due to: Slate fall
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: no
Accident, suicide, or homicide: Accident
Place of injury: Coal mines
City or Town, County, State: Colson, Letcher, Ky.
Time of Injury: 22 March 1950 1:45 p.m.
Injury occurred at work: yes
How did injury occur: Slate fall in mines
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw the deceased alive on (blank), and
that death occurred at 1:45 p.m., from the causes and on the
date stated above.
Date signed: 04 April 1950
Address: Whitesburg, Ky.
Signature: Archie Craft, Coroner
Burial, Cremation or Removal: Burial
Date: 26 March 1950
Name of Cemetery or Crematory: Family Cemetery
Location: Colson, Kentucky
Date received by local registrar: 04 April 1950
Registrar's Signature: E. M. Collins
Funeral director & address: Archie Craft,
Whitesburg, Ky.
Transcribed by Debbie Tamborski, 14 July 2010 |
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