Date: 21 March 1946
Cert: 06994
Place of Death: County: Knott Co. City or
Town: Bath, Ky.
Street Number or Location: Home At Bath, Ky.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Bath, Ky.
Full Name: Silas COLLINS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Dora COLLINS
Age of husband or wife if alive: 58 years
Birth date of deceased: 28 October 1874
Age: 71 years, 04 months, 23 days
Birthplace: Letcher Co.
Occupation: Farmer
Industry or business: (blank)
Father Name: Robert COLLINS
Father Birthplace: Letcher Co.
Mother Maiden Name: Zilda COLLINS
Mother Birthplace: Letcher Co.
Informant: Hillard COLLINS, Bath, Ky.
Burial Place: Bath, Knott Co.
Date: 24 March 1946
Signature of funeral director: Maggard, Hazard, Ky.
Date received by local registrar: 28 March 1946
Registrar's Signature: Mrs. Rose B. Craft
Date of Death: 21 March 1946
I hereby certify that I attended deceased from 19 March 1946 to
19 March 1946, that I last saw him alive on 19 March 1946, and that death
occurred on the date stated above at (blank)
Immediate cause of death: Hypostatic pneumonia
Duration: 02 weeks
Due to: Congestive Heart failure
Duration: 01 months
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: Carl Pigman, M.D., Whitesburg,
Ky.
Date signed: 24 March 1946
Transcribed by Debbie Tamborski, 04 December 2010 |