Date:    20 February 1947
Cert:    11584 
Place of Death: County: Knott   City or Town: Hindman, Ky. Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky   County: Knott
City or Town:  Hindman     Rural 
Full Name: Mrs. Grant COMBS 
If Veteran Name War: (blank)
Social Security No.:  (blank)
Sex, Color or Race, Marital Status:  Female, White, Married
Husband or Wife of:  Grant COMBS
Age of husband or wife if alive: 48 years
Birth date of deceased:  16 December 1901 
Age:  45 years,02 months, 04 days
Birthplace:  Knott Co., Ky. 
Occupation:  Housewife 
Industry or business:  (blank)
Father Name:   Elijah HALL 
Father Birthplace:  Perry Co., Ky. 
Mother Maiden Name:  Linda GAYHEART 
Mother Birthplace:   Perry Co., Ky. 
Informant:  (blank), Hindman, Ky. 
Burial Place:  (blank) 
Date:  18 February 1947 (transcribed as written) 
Signature of funeral director:  None 
Date received by local registrar:  21 May 1947 
Registrar's Signature:  Rose B. Craft
Date of Death:  20 February 1947 
I hereby certify that I attended deceased from 17 February 1947 to 20 February 1947, that I last saw him alive on 19 February 1947, and that death occurred on the date stated above at 8 p.m.
Immediate cause of death:  Double Pneumonia caused by influenza 
Duration: (blank)
Due to:  (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work:  (blank)
Means of injury: (blank)
Signature & Address:  M. F. Kelley, M.D., Hindman, Ky.
Date signed:  21 May 1947 
Transcribed by Debbie Tamborski, 16 December 2010