DEATH CERTIFICATE
RUSSELL COLLINS

Date    17 October 1918
Cert: #  29219
Name:  Russell COLLINS
Male, White, Married
Age:  69 years, 03 months, 10 days
Place of Death: Voting Precinct #2, Knott Co., KY  
Birth Date:  (not listed)                       
Place of Birth:  (not listed)                     
Father:  Perry COLLINS                                              Birthplace Father:  Va. Lee Co.
Mother:  Annie BOLDEN                                                       Birthplace Mother:  Tenn.
Informant:  Marthaan COLLINS, Pine Top, Ky.
Death Date:  17 October 1918
Cause of Death:  Heart dropsy
Signed:  M. F. Kelley, M.D.
Burial Place:  Russell Collins
Undertaker:  (not listed)
File Date: 20 October 1918
Transcribed by Debbie Tamborski, 30 October 2008