DEATH CERTIFICATE
(stillbirth) COLLINS

Date    09 July 1916
Cert: #  18603
Name:  (stillbirth) COLLINS
Boy, White, Single
Age: 
Place of Death: Voting Precinct #5, Knott Co., KY  
Birth Date:  09 July 1916                               
Place of Birth:  Knott Co.                     
Father:  Fielden COLLINS                                           Birthplace Father:  Knott Co.
Mother:  Mary SINGLETON                                                      Birthplace Mother:  Ky.
Informant:  D. R. SMITH, Ritchie
Death Date:  09 July 1916
Cause of Death:  Weakness of mother
Signed:  Matilda Evridge, M.D.
Burial Place:  (not listed)
Undertaker:  (not listed)
File Date: July 1916
Transcribed by Debbie Tamborski, 30 October 2008