Date: 23 September 1953
Cert: 27435
Place of Death: County: Knott
City or Town: Hindman, Ky.
Length of stay (in this place): (blank)
Street address or location: Hindman, Ky.
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural If rural give
location: Bearsville, Ky.
Full Name: James Mathew COMBS
Date of Death: 23 September 1953
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 20 May 1913
Age: 40 years
Usual Occupation: Appliance Store
Kind of Industry or business: Mechanic
Birthplace: Knott Co., Ky.
Father's Name: Shade COMBS
Mother's Maiden Name: Frankie GODSEY
Was deceased ever in armed forces: No
Social Security No.: (blank)
Informant: Mrs. Lucinda COMBS
Disease/condition directly leading to death: Coronary
Occlusion
Interval between onset and death: Instant
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 23 September
1953 to
23 September 1953, that I last saw the deceased alive on 23
September 1953, and
that death occurred at 5 p.m., from the causes and on the
date stated above.
Date signed: 28 September 1953
Address: Hindman, Ky.
Signature: M. F. Kelley, M.D.
Burial, Cremation or Removal: Burial
Date: 26 September 1953
Name of Cemetery or Crematory: Patrick Cemetery
Location: Bearsville, Knott Co., Ky.
Date received by local registrar: 29 September 1953
Registrar's Signature: Rose B. Craft
Funeral director & address: John N. Taul, Hindman
Funeral Home, Hindman, Ky.
Transcribed by Debbie Tamborski, 07 February 2011 |