DEATH CERTIFICATE

COLUMBUS COMBS

Date:    03 April 1947
Cert:    11585 
Place of Death: County: Knott   City or Town:  Emmalena, Ky.
Street Number or Location:  Rural
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.     County:  Knott
City or Town:  Emmalena     Street No.:  Rural 
Full Name:   Columbus COMBS
If Veteran Name War: (blank)
Social Security No.:  (blank)
Sex, Color or Race, Marital Status:  Male, White, Widowed
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:  (blank)
Age:  68 years
Birthplace:   Ky.
Occupation:  Farmer 
Industry or business:  (blank)
Father Name:   Samuel COMBS 
Father Birthplace:  Ky. 
Mother Maiden Name:  Matilda YOUNG    
Mother Birthplace:   Ky. 
Informant:   M. F. KELLEY, Hindman, Ky. 
Burial Place:   Fisty Cemty. 
Date:  04 April 1947
Signature of funeral director:  Friends, Emmalena, Ky.
Date received by local registrar:  17 May 1947 
Registrar's Signature:  Rose B. Craft
Date of Death:  03 April 1947 
I hereby certify that I attended deceased from 03 April 1947 to 04 April 1947, that I last saw him alive on 03 April1947, and that death occurred on the date stated above at 9 p.m.
Immediate cause of death:  Pneumonia caused by influenza 
Duration: (blank)
Due to:  (blank)
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:  M. F. Kelley, Hindman, Ky.
Date signed:   01 May 1947
Transcribed by Debbie Tamborski, 16 December 2010