DEATH CERTIFICATE

DAYTON COMBS

Date   21 December 1934
Cert:   02016
Place of Death: Voting Pct.:  Roxana, Letcher Co., Ky.
Full Name:  Dayton COMBS
Residence:  Roxana, Ky.
Length of Residence: (blank)
Sex, Color or Race, Marital Status:  Male, White, Child
Husband or Wife of:  Child
Date of Birth:  29 September 1923
Age: 11 years, 02 months, 21 days
Occupation:  Student
Birthplace:  Knott Co., Ky.
Father Name:  Andrew COMBS
Birthplace Father:  Knott Co., Ky.
Mother Maiden Name:  Polly MULLINS
Birthplace Mother:  Knott Co., Ky.
Informant/Address:  Mrs. Polly ELDRIDGE (mother), Roxana, Ky.
Burial Cremation Removal Place:  in Knott Co., Ky.
Date:  23 December 1934
Undertaker/Address:  None--family, Roxana, Ky.
Filed:  (blank)
Registrar:  (blank)
Death of Date:  21 December 1934
I hereby certify, That I attended deceased from (blank) to (blank), that I last saw h-- alive on 28 November 1934, death is said to have occurred on the date stated above, at (blank)
Cause of Death:  Tuberculosis Enteritis
Date of onset: 12 mo.
Contributory causes: Intestinal Parasites
Name of operation: None       Was there an autopsy:  No
Accident, suicide, homicide: (blank)
Date of Injury: (blank)
Where did injury occur: (blank)
Specify whether injury occurred industry, home, public place:
Manner of injury: none
Nature of injury: none
Related to occupation: No
Signed/Address:  R. H. Collins, M.D., Whitesburg, Ky.
Transcribed by Debbie Tamborski, 05 April 2010