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DEATH
CERTIFICATE
DANIEL COMBS
Date 31 May 1927
Cert: 11828
Place of Death: Voting Precinct: Tribby, Lotts Creek #22,
Perry Co., Ky.
Full Name: Daniel COMBS
Residence: (blank)
Length of residence where death occurred: 03 years
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Pearlenia COMBS
Date of Birth: 31 October 1897
Age: 29 years, 07 months
Occupation: Miner, Coal Mines
Birthplace: Vest, Knott Co., Ky.
Name of Father: Andrew COMBS
Birthplace Father: Vest, Knott Co., Ky.
Maiden name of Mother: Dulsenia CORNETT
Birthplace Mother: Vest, Knott Co., Ky.
Informant/Address: Pearl COMBS, Tribby
Filed: June 1927
Registrar: (blank)
Death Date: 31 May 1927
I hereby certify that I attended deceased from 30 March 1926,
to 20 May 1927, that I last saw him alive on 20 May 1927, and
that death occurred, on the date stated above, at 7 p.m.
Cause of Death: Pulmonary Tuberculosis
Duration: 02 years
Contributory: Gasses in army
Where was disease contract if not at place of death: (blank)
Did an operation precede death: No
Autopsy: No
What test confirmed diagnosis: (blank)
Signed: R. Sumner, M.D., 11 June 1927, Tribbey, Ky.
Place of Burial or Removal: Vest, Knott Co., Ky.
Date of Burial: 01 June 1927
Undertaker/Address: none
Transcribed by Debbie Tamborski, 23 March 2010 |
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