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DEATH
CERTIFICATE
(STILLBIRTH) COLLINS
Date 06 August 1916
Cert: # 21164
Name: (Stillbirth) COLLINS
Male, White
Age: Stillbirth
Place of Death: Voting Precinct #2, Knott Co., KY
Birth Date: 06 August 1916
Occupation: (blank)
Place of Birth: Knott Co., Ky.
Name of Father: Henderson COLLINS
Birthplace Father: Knott Co., Ky.
Maiden Name of Mother: Lizie COOK
Birthplace Mother: Knott Co., Ky.
Informant: (blank)
Death Date: 06 August 1916
Cause of Death: (blank)
Signed: Mary Maton, M.D.
Burial Place: W. S. Amburgey
Date of Burial: 08 August 1916
Undertaker: (blank)
File Date: 10 September 1916
Transcribed by Debbie Tamborski, 25 November 2008 |
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