Date:   09 December 1943
Cert:   18743
Place of Death: County: Knott  City or Town: Lackey, Ky.  Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky    County: Knott
City or Town:  Lackey, Ky.     Rural
Full Name:  Canzella COMBS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of:  Mont COMBS
Age of husband or wife if alive:  39 years
Birth date of deceased:  15 September 1900
Age: 43 years, 02 months, 24 days
Birthplace:  Knott Co., Ky.
Occupation:  Housewife
Industry or business: House keeping
Father Name:  Pharoah HALL
Father Birthplace:  Floyd Co., Ky.
Mother Maiden Name:  Della MULLINS
Mother Birthplace:  Wise, Va.
Informant:  Mrs. Dallas LEE, Topmost, Ky.
Burial Place:  Topmost, Ky.
Date:  12 December 1944 (transcribed as written)
Signature of funeral director: Friends of Family, Martin, Ky.
Date received by local registrar:  20 July 1944
Registrar's Signature:  Ida Livingston
Date of Death:  09 December 1943 (transcribed as written)
I hereby certify that I attended deceased from (blank) to (blank), that I last saw him alive on 09 December 1944, and that death occurred on the date stated above at 4 p.m.
Immediate cause of death:  (blank)
Duration: (blank)
Due to: Nephritis Hypertension
Other conditions:  Pregnancy
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: J. R. Chitwood, M.D., Lackey, Ky.
Date signed:  17 May 1944
Transcribed by Debbie Tamborski, 20 October 2010