Date: 12 December 1944
Cert: 27644
Place of Death: County: Knott City or
Town: Vest, Ky.
Street Number or Location: Rural
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Vest, Ky. Street
No.: Rural
Full Name: Clarinda GAYHEART COMBS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: John S. COMBS
Age of husband or wife if alive: 80 years
Birth date of deceased: 15 January 1866
Age: 78 years, 10 months, 27 days
Birthplace: Knott Co., Ky.
Occupation: Housewife
Industry or business: Housekeeping
Father Name: Sylvester GAYHEART
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Dorothy GRIGSBY
Mother Birthplace: Knott Co., Ky.
Informant: (blank) Hindman, Ky.
Burial Place: (blank)
Date: 1944
Signature of funeral director: Family & Friends, Vest,
Ky.
Date received by local registrar: 30 December 1944
Registrar's Signature: Ida Livingston Rose B. Craft
Acting Reg.
Date of Death: 12 December 1944
I hereby certify that I attended deceased from 06 December
1944 to
12 December 1944, that I last saw h-- alive on 06 December
1944, and that death occurred on the date stated above at 3:30
p.m.
Immediate cause of death: Pneumonia
Duration: (blank)
Due to: age
Major findings of operations: (blank)
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. W. Duke, M.D., Hindman
Date signed: 30 December 1944
Transcribed by Debbie Tamborski, 08 November 2010 |