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DEATH
CERTIFICATE
JOHN D. COMBS
Date 18 December 1947
Cert: 28253
Place of Death: County: Floyd City or
Town: Garrett
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Brinkley
Full Name: John D. COMBS
If Veteran Name War: World War (1)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Lona COMBS
Age of husband or wife if alive: 15 February 1915
Birth date of deceased: 09 December 1910
Age: 37 years
Birthplace: Anco, Ky.
Occupation: Miner
Industry or business: (blank)
Father Name: Mart COMBS
Father Birthplace: Perry
Mother Maiden Name: Louisa WELLS
Mother Birthplace: Perry
Informant: Lona COMBS, Brinkley, Ky.
Burial Place: Brinkley
Date: 21 December 1947
Signature of funeral director: G. D. Ryan, Martin, Ky.
Date received by local registrar: 06 January 1948
Registrar's Signature: Lucy Ramsdell
Date of Death: 18 December 1947
I hereby certify that I attended deceased from (blank) to
(blank), that I
last saw him alive on (blank), and that death occurred on the date
stated above at 8:00 p.m.
Immediate cause of death: Crushed skull & chest, killed
instantly
Due to: (blank)
Major findings of operations: No Dr.
Accident, suicide, or homicide: accident
Date of occurrence: 18 December 1947
Where did injury occur: Coal mine
While at work: yes
Means of injury: explosion
Signature: G. D. Ryan, Emb., Martin, Ky.
Date signed: 06 January 1948
Transcribed by Debbie Tamborski, 12 February 2010 |
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