DEATH CERTIFICATE

JOHN H. COMBS

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