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DEATH
CERTIFICATE
BLAIN COMBS
Date 05 December 1933
Cert: 30443
Place of Death: Voting Pct.: Hurst &
Snyder, Hazard, Perry Co., Ky.
Full Name: Blain COMBS
Residence: Carrie, Ky.
Length of Residence: 05 months
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of: (blank)
Date of Birth: 09 December 1913
Age: 20 years, 11 months, 26 days
Occupation: Farmer
Birthplace: Knott County, Carrie, Ky.
Father Name: Robert COMBS
Birthplace Father: Kentucky
Mother Maiden Name: Marry CORNETT
Birthplace Mother: Kentucky
Informant/Address: Robert COMBS, Carrie, Ky.
Burial Cremation Removal Place: Carrie, Ky.
Date: 07 December 1933
Undertaker/Address: H. Engle, Hazard, Ky.
Filed: 09 December 1933
Registrar: J. P. Boggs
Death of Date: 05 December 1933
I hereby certify, That I attended deceased from 30 November
1933 to
05 December 1933, that I last saw him alive on 05 December
1933, death is said
to have occurred on the date stated above, at 5:30 p.m.
Cause of Death: Compound fracture lower third left leg
with gas bacillus infection with Gangrene
Date of onset: 30 November
Contributory causes: (blank)
Name of operation: Amp. middle thigh
Date of: 03 December 1933
What test confirmed diagnosis: Lab.
Was there an autopsy: No
Accident, suicide, homicide: Accident
Date of Injury: 30 November 1933
Where did injury occur: Hindman, Knott Co., Ky.
Specify whether injury occurred industry, home, public place:
Public highway (motorcycle accident)
Manner of injury: wrecked motorcycle
Nature of injury: Compound fracture left leg
Related to occupation: No
Signed/Address: Dana Snyder, M.D., Hazard, Ky.
Transcribed by Debbie Tamborski, 01 April 2010 |
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