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DEATH
CERTIFICATE
AMUS COMBS
Date 13 March 1942
Cert: 09992
Place of Death: County: Perry City or Town:
Hazard, Ky.
Street No. or Location: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Perry
City or Town: Hazard, Ky. Street
No.: Moore St.
Full Name: Amus COMBS
If Veteran Name War: No
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, Col., Married
Husband or Wife of: Trixie COMBS
Age of husband or wife if alive: 20 years
Birth date of deceased: 27 May 1912
Age: 29 years, 09 months, 14 days
Birthplace: Knott County, Ky.
Occupation: None
Industry or business: None
Father Name: Elix COMBS
Father Birthplace: Knott County, Ky.
Mother Maiden Name: Elizabeth CHRISTY
Mother Birthplace: Knott County, Ky.
Informant: Elsie COMBS, Allock, Ky.
Burial Place: Hazard, Ky.
Date: 16 March 1942
Signature of funeral director: Engles, Hazard, Ky.
Date received by local registrar: 28 March 1942
Registrar's Signature: Anna L. Boulos
Date of Death: 13 March 1942
I hereby certify that I attended deceased from 08 March 1942 to
08 March 1942, that I last saw him alive on 08 March 1942, and
that death occurred on the date stated above at 10 a.m.
Immediate cause of death: Acute pulmonary T. B.
Duration: 01 month
Other conditions: None
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 & Address: J. C. Coldiron, M.D., Hazard
Date signed: 26 March 1942
Transcribed by Debbie Tamborski, 25 May 2010 |
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