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DEATH
CERTIFICATE
JESSE B. COMBS
Date 07 April 1951
Cert: 08311
Place of Death: County: Perry City or Town:
Dwarf
Length of stay in hospital or community: (blank)
Name of Hospital or Institution: None
Usual Residence of Deceased: State: Ky. County: Knott
City or Town: Anco
Full Name: Jesse B. COMBS
Date of Death: 07 April 1951
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 24 May 1922
Age: 28 years
Usual Occupation: Miner
Kind of Industry or business: Mines
Birthplace: Breathitt County, Ky.
Father's Name: Jack COMBS
Mother's Maiden Name: Nancy CENTERS
Was deceased in ever in armed forces: No
Social Security No.: 403-22-5017
Informant: Fannie COMBS
Disease/condition directly leading to death: Basilar
skull fracture
Interval between onset and death: (blank)
Due to: Automobile accident
Other significant conditions: Multiple contusions &
lacerations about skull
Date of Operation: (blank)
Major findings for operation: (blank)
Accident, suicide, or homicide: Accident
Place of injury: (blank)
City or Town, County, State: Perry, Ky.
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: Car Wreck
I hereby certify that I attended deceased from 07 April 1951 to
07 April 1951, that I
last saw the deceased alive on Dead when seen, and that death occurred on
the date stated above at 12:43 p.m., from the causes and on the date
stated above.
Date signed: 11 April 1951
Address: Hazard, Ky.
Signature: Paul W. Gutsche, M.D.
Burial, Cremation or Removal: Burial
Date: 10 April 1951
Name of Cemetery or Creamatory: Russell Cemetery
Location: Clayhole, Ky.
Date received by local registrar: 13 April 1951
Registrar's Signature: Georgia P. (illegible)
Funeral director and address: Maggard and Garrett, Hazard, Ky.
Transcribed by Debbie Tamborski, 17 February 2010 |
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