Date: 18 May 1946
Cert: 11625
Place of Death: County: Knott City or
Town: Hindman, Ky. Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Hindman Street No.:
Rural
Full Name: Barm COMBS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White,
Married
Husband or Wife of: Polly STAMPER COMBS
Age of husband or wife if alive: 55 years
Birth date of deceased: 1881
Age: 65 years
Birthplace: Knott
Occupation: Farmer
Industry or business: (blank)
Father Name: Boone COMBS
Father Birthplace: Vest, Knott Co.
Mother Maiden Name: Goldie MOORE
Mother Birthplace: Mousie, Knott Co., Ky.
Informant: Olkey COMBS, Hindman, Ky.
Burial Place: Knott Co.
Date: 20 May 1946
Signature of funeral director: L. Riley Townsend,
Hazard, Ky.
Date received by local registrar: 31 May 1946
Registrar's Signature: Mrs. Rose B. Craft
Date of Death: 18 May 1946
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at 9 p.m.
Immediate cause of death: Pneumonia
Duration: (blank)
Due to: (blank)
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. W. Duke, M.D., (blank)
Date signed: (blank)
Transcribed by Debbie Tamborski, 04 December 2010 |