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DEATH
CERTIFICATE
FIELDEN COMBS
Date 01 December 1918
Cert: 02813
Place of Death: Voting. Precinct: No. 7
Whitesburg, Letcher Co., Ky.
Full Name: Fielden COMBS
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: (blank)
Age: (scribbled over 52) years
Occupation: Laborer
Birthplace: Knott Co., Ky.
Name of Father: Madison COMBS
Birthplace Father: Knott Co., Ky.
Maiden name of Mother: Susan
Birthplace Mother: Not known
Informant/Address: Riley CAUDILL, Whitesburg, Ky.
Filed: 05 January 1919
Registrar: S. S. Blair
Death Date: 01 December 1918
I hereby certify that I attended deceased from 22 November
1918, to 01 December 1918, that I last saw him alive on 30
November 1918, and that death occurred, on the date stated
above, at 10 a.m.
Cause of Death: Pneumonia
Duration: (blank)
Contributory: Influenza
Signed/Address: P. Y. Pursiful, M.D., 02 December 1918,
Whitesburg, Ky.
Length of residence where disease contracted: (blank)
Former or usual residence: (blank)
Place of Burial or Removal: Whitesburg, Ky.
Date of Burial: 02 December 1918
Undertaker/Address: R. N. Swisher, Whitesburg, Ky.
Transcribed by Debbie Tamborski, 28 February 2010 |
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