Date:   06 April 1941
Cert:   15463 
Place of Death: County: Knott     City or Town:  Mousie
Street No. or Location:  Rural
Length of stay in hospital or community: none
Usual Residence of Deceased: State: Ky.      County:  Knott
City or Town:  Mousie, Ky.
Full Name:  Erma Jene COMBS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Single
Husband or Wife of:  (blank)
Age of husband or wife if alive:  (blank)
Birth date of deceased:  19 June 1925
Age: 15 years, 10 months, 17 days
Birthplace:  Garrett, Ky.
Occupation:  Student
Industry or business: (blank)
Father Name:  Elijah COMBS
Father Birthplace:  Leburn, Ky.
Mother Maiden Name:  Effie WATTS
Mother Birthplace:  Leburn, Ky.
Informant:  Effie MOORE, Mousie, Ky.
Burial Place:  Leburn
Date:  07 April 1941
Signature of funeral director:  none
Date received by local registrar:  05 June 1941
Registrar's Signature:  Macie Miller
Date of Death:  06 April 1941
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 (blank)
Immediate cause of death:  Killed in car wreck
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: accident
Date of occurrence: 06 April 1941
Where did injury occur: Public highway
While at work: (blank)
Means of injury: Broken neck
Signature & Address:  J. W. Duke, M.D., Hindman
Date signed:  05 June 1941
Transcribed by Debbie Tamborski, 11 October 2010