Date:   03 December 1943
Cert:   04918 
Place of Death: County: Knott     City or Town: Mousie, Ky.
Street No. or Location:  Rural
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town:  Mousie, Ky.     Street No. or Location:  Rural
Full Name:  Billie COMBS Jr.
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of:  29 November 1943
Age of husband or wife if alive:  (blank)
Birth date of deceased:  (blank)
Age: 04 days
Birthplace:  Mousie, Ky.
Occupation:  none
Industry or business: non
Father Name: Billie COMBS Sr.
Father Birthplace:  Knott Co, Ky.
Mother Maiden Name:  Marie BOLYN
Mother Birthplace:  Knott Co., Ky.
Informant:  Billie COMBS Sr., Mousie, Ky.
Burial Place:  Combs Cemetery
Date:  05 December 1943
Signature of funeral director: (blank), Mousie, Ky.
Date received by local registrar:  29 February 1944
Registrar's Signature:  Ida Livingston
Date of Death:  03 December 1943
I hereby certify that I attended deceased from 02 December 1943 to 03 December 1943, that I last saw him alive on 03 December 1943, and that death occurred on the date stated above at 2 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:  M. F. Kelley, M.D., Hindman, Ky.
Date signed:  04 December 1943
Transcribed by Debbie Tamborski, 23 October 2010