DEATH CERTIFICATE

BERTHA COMBS

Date  15 March 1920
Cert: #  11921
Name:  Bertha COMBS
Place of Death: Voting Pct., Knott Co., KY
Female, White, Single
Birth Date:  10 February 1911
Age:  09 years,  01 months, 05 days
Occupation:  School girl
Place of Birth:  Knott Co., Ky.
Name of Father:  John L. COMBS
Birthplace Father:  Kentucky
Maiden Name of Mother:  Cyntha OWENS
Birthplace Mother:  Kentucky
Informant:  (blank)
Death Date:  15 March 1920
Cause of Death:  acute broncho pneumonia of the lungs
Signed:  M. F. Kelley, M.D.
Burial Place:  Everidge Cemetery
Date of Burial:  16 March 1920
Undertaker:  John L. Combs, Emmelena, Ky.
File Date:  April 1920
Transcribed by Debbie Tamborski, 22 December 2008