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DEATH
CERTIFICATE
TROY COLLINS
Date 14 March 1944
Cert: 12683
Place of Death: County: Perry City or
Town: Hazard
Name of Hospital or Institution: Hazard Hospital
Co.
Length of stay in hospital or community:
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Tina
Full Name: Troy COLLINS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, (blank)
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 24 December 1915
Age: 28 years
Birthplace: Perry Co., Ky.
Occupation: Farmer
Industry or business: (blank)
Father Name: William COLLINS
Father Birthplace: Knott Co.
Mother Maiden Name: Mary CREECH
Mother Birthplace: Ky.
Informant: Bartley HOLLIFIELD, Tina, Ky.
Burial Place: Tina, Ky.
Date: 16 March 1944
Signature of funeral director: Engles, Hazard, Ky.
Date received by local registrar: 01 May 1944
Registrar's Signature: Anna L. Boulos
Date of Death: 14 March 1944
I hereby certify that I attended deceased from 13 March 1944 to
14 March 1944, that I
last saw him alive on 14 March 1944, and that death occurred on the date
stated above at 9 p.m.
Immediate cause of death: Septicemia
Due to: Perinephritis (illegible)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature: Chris S. Jackson, M.D., Hazard, Ky.
Date signed: 20 March 1944
Transcribed by Debbie Tamborski, 07 February 2010 |
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