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DEATH
CERTIFICATE
BURNES COMBS
Date 11 August 1921
Cert: # 17873
Name: Burnes COMBS
Place of Death: Voting Pct. #8, Knott Co., KY
Male, White, Child
Birth Date: 1921
Age: 06 months, 15 days
Occupation: (blank)
Place of Birth: Perry Co., Ky.
Name of Father: Green COMBS
Birthplace Father: Sassafras, Ky.
Maiden Name of Mother: Leona COMBS
Birthplace Mother: Sassafras
Informant: Spencer COMBS, Sassafras, Ky.
Death Date: 11 August 1921
Cause of Death: Pneumonia fever
Signed: Davis Fields, M.D.
Burial Place: Hiram Adams
Date of Burial: 12 August 1921
Undertaker: Green Combs, Sassafras, Ky.
File Date: 12 August 1921
Transcribed by Debbie Tamborski, 22 December 2008 |
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