|
DEATH
CERTIFICATE
ED COMBS
Date 25 January 1914
Cert: 02166
Place of Death: Voting. Precinct: E. Horn
#8, Jenkins, Letcher Co., KY
Full Name: Ed COMBS
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: (blank)
Age: 35 years
Occupation: Common Laborer
Birthplace: Knott Co., Ky.
Name of Father: John COMBS
Birthplace Father: Knott Co., Ky.
Maiden name of Mother: Deslena SMITH
Birthplace Mother: Ky.
Informant/Address: J. H. COLLINS, Jenkins
Filed: 26 January 1914
Registrar: John Collins
Death Date: 25 January 1914
I hereby certify that I attended deceased from (blank), to
(blank), that I last saw h-- alive on (blank), and that death
occurred, on the date stated above, at (blank)
Cause of Death: Organic Heart Disease
Duration: (blank)
Contributory: (blank)
Signed/Address: J. C. Gambill, M.D., 26 January 1914,
Jenkins
Place of Burial or Removal: (blank)
Date of Burial: (blank)
Undertaker/Address: (blank)
Transcribed by Debbie Tamborski, 24 February 2010 |
|