DEATH CERTIFICATE
(stillbirth) COLLINS

Date    27 August 1914
Deathvol Vol:   1914
Cert: #  21574
Name:  (stillbirth) COLLINS
Male, White
Age:  Stillbirth
Place of Death: Voting Pct. No. 2, Knott Co., KY
Birth Date:  27 August 1914
Place of Birth:  Knott Co., Ky.
Father:  Henderson COLLINS                                                 Birthplace Father:  Knott Co., Ky.
Mother:  Liza COOK                                                     Birthplace Mother:  Letcher Co., Ky.
Informant:  G. C. COLLINS, Nealy, Ky.
Death Date:  27 August 1914
Cause of Death:  Stillbirth
Signed:  Matilda Franklin, M.D.
Burial Place:  W. S. Amburgey
Undertaker:  (Blank)
File Date: 10 September 1914
Transcribed by Debbie Tamborski, 24 July 2008