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DEATH
CERTIFICATE
(Stillborn) COLLINS
Date 09 August 1931
Cert: # 22539
Name: (Stillborn) COLLINS
Place of Death: Voting Pct. #15, Knott Co., KY
Male, White, Child
Birth Date: 09 August 1931
Age: (blank)
Occupation: Child
Place of Birth: Sassafras, Ky.
Name of Father: Troy COLLINS
Birthplace Father: Knott Co.
Maiden Name of Mother: Ida SUMMERY
Birthplace Mother: Knott Co.
Informant: Troy COLLINS, Sassafras, Ky.
Death Date: 09 August 1931
Cause of Death: Stillborn
Signed: Armelda Smith, M.D.
Burial Place: Anco, Ky.
Date of Burial: 10 August 1931
Undertaker: Troy Collins, Sassafras, Ky.
File Date: 06 October 1931
Transcribed by Debbie Tamborski, 25 June 2009 |
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