Date: 07 October 1955
Cert: #20892
Place of Death: County: Knott City or Town:
Redfox - Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky. County:
Knott
City or Town: Redfox - Rural Street Address: (blank)
Full Name: John H. COMBS
Date of Death: 07 October 1955
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 08 June 1883
Age: 72 years
Usual Occupation: Miner
Kind of Industry or business: (blank)
Birthplace: Smithboro, Ky.
Father's Name: Madison COMBS
Mother's Maiden Name: Mary Ann SMITH
Was deceased ever in armed forces: No
Social Security No.: 403-16-1700
Informant: Larry COMBS
Disease or condition directly leading to death: Sudden
Death
Interval between onset and death: Sudden
Due to: Hearth failure
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 (blank) to
(blank), that I last saw the deceased alive on (blank), and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: 11 October 1955
Address: Hindman, Ky.
Signature: John Everage, Coroner, Knott Co.
Burial, Cremation or Removal: Burial
Date: 10 October 1955
Name of Cemetery or Crematory: Cornett Hill
Location: Sassafras, Ky.
Date received by local registrar: 11 October 1955
Registrar's Signature: Myrtle Slone
Funeral director & address: John Everage, Hindman,
Ky.
Transcribed by Debbie Tamborski, 10 June 2011 |