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DEATH
CERTIFICATE
JOHN S. COMBS
Date 18 July 1939
Cert: Original # 18674 Duplicate
#2482
Place of Death: Voting Pct. Hazard, Perry Co., Ky.
Full Name: John S. COMBS
Residence: Vest, Ky.
Length of Residence: (blank)
Sex, Color or Race, Marital Status: Male, White, (blank)
Husband or Wife of: (blank)
Date of Birth: (blank)
Age: 04 months
Occupation: Child
Birthplace: Vest, Ky.
Father Name: Bryan COMBS
Birthplace Father: Knott Co., Ky.
Mother Maiden Name: Madge HUFF
Birthplace Mother: Knott Co., Ky.
Informant/Address: Mrs. Silas COMBS, Vico, Ky. [sic]
Burial Cremation Removal Place: Burial - Vest, Ky.
Date: 19 July 1939
Undertaker/Address: Engle Und. & Hdw. Co., Hazard, Ky.
Filed: 25 July 1939
Registrar: Virginia Combs
Death of Date: 18 July 1939
I hereby certify, That I attended deceased from 10 July 1939
to 18 July 1939, that I last saw him alive on 18 July 1939,
death is said to have occurred on the date stated above, at
8:30 p.m.
Cause of Death: Acidosis
Date of onset: (blank)
Contributory causes: Acute gastric enteritis
Name of operation: (blank)
Accident, suicide, homicide: (blank)
Date of Injury: (blank)
Where did injury occur: (blank)
Specify whether injury occurred industry, home, public place:
Manner of injury: (blank)
Nature of injury: (blank)
Related to occupation: (blank)
Signed/Address: A. W. Wright, M.D., Hazard, Ky.
Transcribed by Debbie Tamborski, 03 May 2010 |
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