DEATH CERTIFICATE

SHERRELL COLLINS

Date about 12 November 1938
Cert:  30834
Name:  Sherrell COLLINS
Place of Death: Voting Pct. Vest, Knott Co., KY
Residence: (blank)
Length of residence: (blank)
Male, White, Single
Husband or Wife of: (blank)
Birth Date:  09 November 1938
Age: born dead  (transcribed as written)
Occupation:  (blank) 
Place of Birth:  Soft Shell, Ky., Knott Co.
Name of Father:  John COLLINS 
Birthplace Father:  Soft Shell, Ky., Knott Co. 
Maiden Name of Mother:  Margarett HICKS 
Birthplace Mother:  Soft Shell, Ky.., Knott Co. 
Informant:  John COLLINS, Soft Shell, Ky. 
Death Date:  About November 12, 1938 
Cause of Death:  Flue
Signed:  Mark Dempsey, M.D., Garrett, Ky.
Burial Place:  Soft Shell, Ky.
Date of Burial:  20 November 1938 
Undertaker:  none
File Date:  23 December 1938 
Registrar:  J. D. Martin 
Transcribed by Debbie Tamborski, 11 October 2009