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DEATH
CERTIFICATE
ANDREW COMBS
Date 07 January 1939
Cert: 05239
Place of Death: Voting Pct. Perry Co., KY
Full Name: Andrew COMBS
Residence: Tribby, Ky.
Length of Residence: (blank)
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of: (blank)
Date of Birth: 04 November 1867
Age: 76 years
Occupation: Farmer
Birthplace: Vest, Ky.
Father Name: Wayne COMBS
Birthplace Father: Vest, Ky.
Mother Maiden Name: Judy DOBISON
Birthplace Mother: Caney, Ky.
Informant/Address: Curtis COMBS, Tribby, Ky.
Burial Cremation Removal Place: Burial - Vest, Ky.
Date: 09 January 1939
Undertaker/Address: Engle Bros., Hazard, Ky.
Filed: 16 February 1939
Registrar: Virginia Combs
Death of Date: 07 January 1939
I hereby certify, That I attended deceased from (blank) to
(blank), that I last saw h-- alive on (blank), death is said
to have occurred on the date stated above, at (blank)
Cause of Death: Heart Block
Date of onset: 07 January 1939
Contributory causes: (blank)
Name of operation: (blank)
Accident, suicide, homicide: (blank)
Date of Injury: (blank)
Where did injury occur: (blank)
Specify whether injury occurred industry, home, public place:
Manner of injury: (blank)
Nature of injury: (blank)
Related to occupation: (blank)
Signed/Address: J. P. Boggs, Hazard, Ky.
Transcribed by Debbie Tamborski, 03 May 2010 |
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