Date 06 September 1914
Cert: 23208
Place of Death: Voting Precinct: Asylum, Lexington, E. State
Hospital, Fayette Co., Ky.
Full Name: Fannie COMBS
Sex, Color or Race, Marital Status: Female, White, Married
Date of Birth: 1871
Age: 43 years
Occupation: Housewife
Birthplace: Knott Co., Ky.
Name of Father: unknown
Birthplace Father: unknown
Maiden name of Mother: unknown
Birthplace Mother: unknown
Informant/Address: Hospital Records, Lex., Ky.
Filed: 08 September 1914
Registrar: A. M. Hornbrosk
Death Date: 06 September 1914
I hereby certify that I attended deceased from 26 June 1914,
to 05 September 1914, that I last saw her alive on 05
September 1914, and that death occurred, on the date stated
above, at 11 a.m.
Cause of Death: Exhaustion following acute mania
Duration: 03 months
Contributory: Chronic Diarrhea
Signed/Address: M. C. D(illegible), M.D., 07 September 1914,
Lex., Ky.
Length of residence at place of death: 02 months, 11
days
Length of residence in the state: 43 years
Where was disease contracted: at home
Former or usual residence: Knott Co., Ky.
Place of Burial or Removal: Hospital Cemetery
Date of Burial: 07 September 1914
Undertaker/Address: Eastern State Hospital, Lex., Ky.
Transcribed by Debbie Tamborski, 24 February 2010 |