Date: 12 October 1945
Cert: 23990
Place of Death: County: Knott City or
Town: Lackey, Ky. Rural
Name of Hospital or Institution: Stumbo Mem. Hosp.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Floyd
City or Town: Garrett
Full Name: Ishiah COMBS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 07 December 1944
Age: 10 months, 05 days
Birthplace: Floyd Co., Ky.
Occupation: (blank)
Industry or business: (blank)
Father Name: Ben COMBS
Father Birthplace: Perry Co., Ky.
Mother Maiden Name: Cora BOLEN
Mother Birthplace: Knott Co., Ky.
Informant: Ben COMBS, Garrett, Ky.
Burial Place: Garrett, Ky.
Date: 13 October 1945
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar: 26 November 1945
Registrar's Signature: Rose B. Craft
Date of Death: 12 October 1945
I hereby certify that I attended deceased from 09 October 1945 to
12 October 1945, that I last saw him alive on 12 October 1945, and that death
occurred on the date stated above at 10:00 a.m.
Immediate cause of death: Meningitis
Duration: (blank)
Due to: (blank)
Other Conditions: Bacillary dysentery
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: J. H. Stumbo, M.D., Lackey, Ky.
Date signed: 26 November 1945
Transcribed by Debbie Tamborski, 26 November 2010 |