DEATH CERTIFICATE

ELLA COMBS

Date  05 January 1934
Cert:  1767
Name:  Ella COMBS
Place of Death: Voting Pct. #2, Knott Co., KY
Residence:  (blank)
Length of residence: 12 yrs. 03 mos. 11 days
Female, White, Single
Husband or Wife of:  (blank)
Birth Date:  30 October 1921
Age: 12 years, 03 months, 11 days
Occupation: School Girl
Place of Birth:  Ky.
Name of Father:  Cullen COMBS
Birthplace Father:  Ky.
Maiden Name of Mother:  Polleyann WATTS
Birthplace Mother:  (blank)
Informant:  Eno COMBS, Pine Top, Ky.
Death Date:  05 January 1934
Cause of Death:  Spinel Disease [sic]
Signed:  Dr. Kelly, M.D.
Burial Place:  Slone Cemetery
Date of Burial:  06 January 1934
Undertaker:  J. E. Bowlins, Pine Top, Ky. 
File Date:  (blank)
Transcribed by Debbie Tamborski, 17 July 2009