DEATH CERTIFICATE

JEREMIAH COMBS

Date   28 July 1936
Cert:  30509 
Name:  Jeremiah COMBS
Place of Death: Voting Pct. Emmalena, Knott Co., KY
Residence:  Emmalena, Ky. 
Length of residence: (blank)
Male, White, Widower
Husband or Wife of:  (blank)
Birth Date:  (blank) 
Age: 101 years, 03 months, 14 days
Occupation:  None
Place of Birth:  Kentucky
Name of Father:  Jerry COMBS Sr.
Birthplace Father:  Perry Co., Ky. 
Maiden Name of Mother:  May WALKER
Birthplace Mother:  Perry Co., Ky. 
Informant:  John COMBS, Lothair, Ky. 
Death Date:  28 July 1936 
Cause of Death:   Senility & Pneumonia 
Signed:  M. F. Kelley, M.D., Hindman, Ky.
Burial Place:  Emmalena, Ky.
Date of Burial:  (blank)
Undertaker:  G. W. Nicholson, Hazard, Ky.
File Date:  15 December 1936
Transcribed by Debbie Tamborski, 16 September 2009