DEATH CERTIFICATE
JACK COMBS

Date    29 April 1914
Deathvol Vol:   1914
Cert: #  10814
Name:  Jack COMBS
Male, White, Married
Age:  76 years, 2 months, 5 days
Place of Death: Voting Pct. No. 6, Knott Co., KY
Birth Date:  24 January 1838
Place of Birth:  Knott Co., Ky.
Father:  Jerry COMBS                                                   Birthplace Father:  Perry Co., Ky.
Mother:  Sally KELLY                                                      Birthplace Mother:  Perry Co., Ky.
Informant:  Thos. GIBSON, Smithsboro, Ky.
Death Date:  29 April 1914
Cause of Death:  Pneumonia Fever
Signed:  F. C. Roark, M.D.
Burial Place:  Old Hill Grave
Undertaker:  Anderson Combs, Smithsboro, Ky.
File Date: 29 April 1914
Transcribed by Debbie Tamborski, 24 July 2008