Date: 15 April 1954
Cert: 26471
Place of Death: County: Knott City or Town:
Carr Creek Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Car Creek - Rural If rural give
location:
(blank)
Full Name: Bell COMBS
Date of Death: 15 April 1954
Sex, Color or Race, Marital Status: Female, White, Widow
Date of Birth: 26 April 1872
Age: 82 years
Usual Occupation: Housewife
Kind of Industry or business: (blank)
Birthplace: Perry Co., Ky.
Father's Name: J. A. FLETCHER
Mother's Maiden Name: Martha BAKER
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Morton COMBS
Disease or condition directly leading to death: Acute Heart
failure
Interval between onset and death: (blank)
Due to: Senility
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 15 April 1954 to
15 April 1954, that I last saw the deceased alive on 15 April
1954, and
that death occurred at 11 a.m., from the causes and on the
date stated above.
Date signed: (illegible) April
Address: Allock
Signature: A. B. Pigman, M.D.
Burial, Cremation or Removal: Burial
Date: 17 April 1954
Name of Cemetery or Crematory: Combs Cemetery
Location: Cordia, Ky.
Date received by local registrar: 24 February 1955
Registrar's Signature: Myrtle Slone
Funeral director & address: John Everage, Hindman,
Ky.
Transcribed by Debbie Tamborski, 23 February 2011 |