Date: 03 November 1950
Cert: 23319
Place of Death: County: Knott
City or Town: Hindman Rural
Length of stay (in this place): All of life
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Hindman Rural Street Address:
(blank)
Full Name: John S. COMBS
Date of Death: 03 November 1950
Sex, Color or Race, Marital Status: Male, White, Widowed
Date of Birth: 18 March 1862
Age: 88 years
Usual Occupation: Farmer
Kind of Industry or business: Farming
Birthplace: Perry Co., Ky.
Father's Name: Wesley COMBS
Mother's Maiden Name: Polly PATTON
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Pearl COMBS
Disease or condition directly leading to death: cardiac
decompensation with uremia
Interval between onset and death: 24 hours
Due to (b): cardiorenal vascular disease
Interval between onset and death: 20 years?(transcribed
as written)
Due to (c): Hypertension, arteriosclerosis, Diabetes mellitus
and obesity; Senility
Interval between onset and death: Unk. but perhaps 20 years
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
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 11 December
1947 to 04 November 1950*, that I last saw the deceased alive
on 04 November 1950*, and that death occurred at 12:06 a.m.,
from the causes and on the date stated above. (*dates are
transcribed as written)
Date signed: 10 November 1950
Address: Hindman, Ky.
Signature: D. G. Barker, M.D.
Burial, Cremation or Removal: Burial
Date: 05 November 1950
Name of Cemetery or Crematory: Family
Location: Vest, Ky.
Date received by local registrar: 15 November 1950
Registrar's Signature: Rose B. Craft
Funeral director & address: John N. Taul, Director,
Hindman Funeral Home
Transcribed by Debbie Tamborski, 12 January 2011 |