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DEATH
CERTIFICATE
BIRD COMBS
Date: 02 December 1946
Cert: 04371
Place of Death: County: Perry City or Town:
Glomawr, Ky.
Street No. or Location: At Home
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky County:
Perry
City or Town: Glomawr, Ky.
Full Name: Bird COMBS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Polly COMBS
Age of husband or wife if alive: 41 years
Birth date of deceased: 14 July 1884
Age: 62 years
Birthplace: Knott Co.
Occupation: Farmer
Industry or business: (blank)
Father Name: Red John COMBS
Father Birthplace: Knott Co.
Mother Maiden Name: Delcenia SMITH
Mother Birthplace: Knott Co.
Informant: Polly COMBS, Glomawr, Ky.
Burial Place: Bill Hill, Jeff, Ky.
Date: 04 December 1946
Signature funeral director: Maggard & Blair F. H., Hazard, Ky.
Date received by local registrar: 10 January 1947
Registrar's Signature: O. J. Deaton By Helen
Burris, Deputy Registrar
Date of Death: 02 December 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 11 p.m.
Immediate cause of death: Angina pectoris
Duration: 01 year
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: Earl Maggard,
Coroner Deputy, Hazard, Ky.
Date signed: 03 December 1946
Transcribed by Debbie Tamborski, 08 June 2010 |
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