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DEATH
CERTIFICATE
JOHN RILEY COMBS
Date: 06 April 1947
Cert: 10744
Place of Death: County: Floyd City or Town:
Martin
Hospital or Institution: Beaver Valley Hosp.
Length of stay in hospital or community: 03 days
Usual Residence of Deceased: State: Ky. County:
Floyd
City or Town: Orkney
Full Name: John Riley COMBS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Mary COMBS
Age of husband or wife if alive: 60 years
Birth date of deceased: 09 October 1878
Age: 69 years
Birthplace: Knott Co.
Occupation: Farmer
Industry or business: (blank)
Father Name: Andrew COMBS
Father Birthplace: Perry Co.
Mother Maiden Name: Nancy FRANCIS
Mother Birthplace: Knott Co.
Informant: Irvin COMBS, Orkney, Ky.
Burial Place: (blank)
Date: (blank)
Signature of funeral director: E. P. Arnold, Prestonsburg, Ky.
Date received by local registrar: 26 May 1947
Registrar's Signature: Lucy Ransdell
Date of Death: 06 April 1947
I hereby certify that I attended deceased from 04 April 1947 to
06 April 1947, that I last saw him alive on 06 April 1947, and that death
occurred on the date stated above at (blank)
Immediate cause of death: Intestinal obstruction
Duration: (blank)
Due to: unknown
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: Robert M. Sirkle, M.D., Martin
Date signed: 20 April 1947
Transcribed by Debbie Tamborski, 22 June 2010 |
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