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 |