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DEATH
CERTIFICATE
CORA BOLEYN COMBS
Date: 29 May 1946
Cert: 12915
Place of Death: County: Floyd City or Town: Garrett
Rural
Street No. or Location: (blank)
Length of stay in hospital or community: 10 days
Usual Residence of Deceased: State: Kentucky County:
Floyd
City or Town: Rural If rural give
precinct: No. 48
Full Name: Cora BOLEYN COMBS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of: Ben J. COMBS
Age of husband or wife if alive: 49 years
Birth date of deceased: 03 July 1902
Age: 43 years, 10 months, 26 days
Birthplace: Knott Co., Ky.
Occupation: Housekeeping
Industry or business: Husb. Farm & Merchant
Father Name: William BOLEYN
Father Birthplace: Tenn.
Mother Maiden Name: Nancy HOLLIDAY
Mother Birthplace: Perry Co., Ky.
Informant: J. M. Boleyn, Bolyn, Ky.
Burial Place: Garrett, Ky.
Date: 31 May 1946
Signature of funeral director: J. M. Boleyn, Bolyn, Ky.
Date received by local registrar: 28 June 1946
Registrar's Signature: Lucy Ramsdell
Date of Death: 29 May 1946
I hereby certify that I attended deceased from 16 May 1946 to
28 May 1946, that I last saw her alive on 28 May 1946, and that death
occurred on the date stated above at 7:30 a.m.
Immediate cause of death: Typhoid Fever
Duration: 03 weeks
Due to: (blank)
Other conditions: Cancer
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: Mark Dempsey, M.D., Garrett, Ky.
Date signed: 31 May 1946
Transcribed by Debbie Tamborski, 08 June 2010 |
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