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DEATH
CERTIFICATE
CURTIS SIMPSON COMBS
Date: 29 July 1944
Cert: 23400
Place of Death: County: Perry Co. City or Town:
Rural
Street No. or Location: Home, Sassafras, Ky.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Perry
City or Town: Rural
Full Name: Curtis Simpson COMBS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, (blank)
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 06 October 1889
Age: 54 years, 09 months, 23 days
Birthplace: Knott Co.
Occupation: none
Industry or business: (blank)
Father Name: Joe COMBS
Father Birthplace: Knott Co.
Mother Maiden Name: Ann RUSSELL
Mother Birthplace: Breathitt Co.
Informant: Melvina HERALD, Sassafras, Ky.
Burial Place: Defiance
Date: 30 July 1944
Signature of funeral director: Maggards, Hazard, Ky.
Date received by local registrar: 20 October 1944
Registrar's Signature: Anna L. Boulos
Date of Death: 29 July 1944
I hereby certify that I attended deceased from 27 July 1944 to
29 July 1944, that I last saw him alive on 29 July 1944, and
that death occurred on the date stated above at 6:30 p.m.
Immediate cause of death: Dysentery
Duration: (blank)
Due to: (blank)
Major findings of operations: no Of
autopsy: no
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: (illegible) Combs, M.D., Hazard,
Ky.
Date signed: 19 October 1944
Transcribed by Debbie Tamborski, 02 June 2010 |
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