Date: 10 August 1943
Cert: 02174
Place of Death: County: Knott City or
Town: Sassafras
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: 68 years
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Sassafras Street
No.: None (Sassafras)
Full Name: Mrs. Dicy PIGMAN COMBS
If Veteran Name War: No
Social Security No.: None
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: Rev. W. G. COMBS
Age of husband or wife if alive: 69 years
Birth date of deceased: 30 December 1874
Age: 69 years, 07 months, 10 days
Birthplace: Knott County, Ky.
Occupation: Housewife
Industry or business: (blank)
Father Name: Brax PIGMAN
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Lucinda ADAMS
Mother Birthplace: Knott Co., Ky.
Informant: Clarence COMBS, Hazard, Ky.
Burial Place: Cornett Hill Cem. Burial
Date: 11 August 1943
Signature funeral director: Maggard Funeral Home, Hazard, Ky.
Date received by local registrar: 25 January 1944
Registrar's Signature: Ida Livingston
Date of Death: 10 August 1943
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at 3:20 p.m.
Immediate cause of death: Heart Failure
Duration: (blank)
Due to: Hypertensive Heart Disease
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: J. R. Aker, M.D., Anco, Ky.
Date signed: 21 January 1944
Transcribed by Debbie Tamborski, 20 October 2010 |