DEATH CERTIFICATE

CARL MONROE COMBS

Date:  01 July 1950
Cert:  18772 
Place of Death: County: Knott      City or Town: Rural
Length of stay (in this place): All of life
Street address or location:  Leburn, Ky.
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town: Rural     If rural give precinct:  Leburn, Ky.
Full Name:  Carl Monroe COMBS
Date of Death:  01 July 1950
Sex, Color or Race, Marital Status: Male, White, Never Married
Date of Birth:  17 July 1937
Age:  12 years
Usual Occupation:  None
Kind of Industry or business: None
Birthplace:  Knott Co., Ky.
Father's Name:  Denny COMBS
Mother's Maiden Name:  Orba GAYHEART
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  Denny COMBS
Disease or condition directly leading to death: Cancer of Hip
Interval between onset and death:  (blank)
Due to:  (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from (blank) to (blank), that I last saw the deceased alive on (blank), and that death occurred at (blank), from the causes and on the date stated above.
Date signed:  14 September 1950
Address:  Hindman, Ky.
Signature:  J. W. Duke
Burial, Cremation or Removal:  Burial
Date:  02 July 1950
Name of Cemetery or Crematory:  Roach Gayheart Cem.
Location:  Hindman, Knott, Ky.
Date received by local registrar: 03 July 1950
Registrar's Signature:  Rose B. Craft
Funeral director/address:  Hindman Funeral Home by J. N. Taul
Transcribed by Debbie Tamborski, 12 January 2011