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DEATH
CERTIFICATE
Inf. of TIPTON COLLINS
Date 22 April 1938
Cert: 17791
Name: Inf. of Tipton COLLINS
Place of Death: Vot. Pct. Lower Beaver, Dema, Knott Co., KY
Residence: Dema, Ky.
Length of residence: (blank)
Male, White, Infant
Husband or Wife of: (blank)
Birth Date: 22 April 1938
Age: 05 hours
Occupation: Infant
Place of Birth: (blank)
Name of Father: Tipton COLLINS
Birthplace Father: Knott Co., Ky.
Maiden Name of Mother: Mary COMBS
Birthplace Mother: Knott Co., Ky.
Informant: Father same
Death Date: 22 April 1938
Cause of Death: premature
Signed: A. B. Pigman, M.D., Wayland, Ky.
Burial Place: Dema
Date of Burial: 23 April 1938
Undertaker: family, Dema
File Date: July 1938
Registrar: W. J. Hall
Transcribed by Debbie Tamborski, 11 October 2009 |
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