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DEATH
CERTIFICATE
ALVIN COMBS
Date 01 August 1953
Cert: 19470
Place of Death: County: Perry City or Town:
Dwarf
Length of stay in hospital or community: (blank)
Name of Hospital or Institution: Highway
Usual Residence of Deceased: State: Kentucky County: Knott
City or Town: Fisty Street
Address: Fisty
Full Name: Alvin COMBS
Date of Death: 01 August 1953
Sex, Color or Race, Marital Status: Male, White, Single
Date of Birth: 14 October 1913
Age: 39 years, 09 months, 18 days
Usual Occupation: Factory worker
Kind of Industry or business: Factory
Birthplace: Kentucky
Father's Name: Columbus COMBS
Mother's Maiden Name: Billie YOUNG
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Edgel CLICK
Disease or condition directly leading to death: Crushed
chest, fractured skull, internal hemorrhage car accident
Interval between onset and death: (blank)
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Accident, suicide, or homicide: accident
Place of injury: Highway
City or Town, County, State: Dwarf, Perry, Ky.
Time of Injury: 01 July 1953 (transcribed as written)
Injury occurred at work: Not while at work
How did injury occur: Car accident ran off roadway
I hereby certify that I attended deceased from (blank) to
(blank), that I
last saw the deceased alive on (blank), and that death occurred on
the date stated above at (blank), from the causes and on the date
stated above.
Date signed: 10 August 1953
Address: Hazard, Ky.
Signature: Riley (illegible), Doctor Coroner, Perry
County, Ky.
Burial, Cremation or Removal: Burial
Date: 03 August 1953
Name of Cemetery or Creamatory: Family Cemetery
Location: Fisty, Knott, Kentucky
Date received by local registrar: 13 August 1953
Registrar's Signature: Georgia P. Surer
Funeral director and address: Engle Funeral Home,
Hazard, Ky., Wm. Engle, Jr.
Transcribed by Debbie Tamborski, 21 February 2010 |
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