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DEATH
CERTIFICATE
JOHN WESLEY COMBS
Date: 31 March 1944
Cert: 10369
Place of Death: County: Perry City or Town:
Hazard
Hospital or Institution: Hazard Hospital Co.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Perry
City or Town: Lothair
Full Name: John Wesley COMBS
If Veteran Name War: World
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Nettie COMBS
Age of husband or wife if alive: 44 years
Birth date of deceased: 26 August 1893
Age: 53 years
Birthplace: Knott Co.
Occupation: Teacher
Industry or business: (blank)
Father Name: Jerry COMBS
Father Birthplace: Douglas, Ky.
Mother Maiden Name: Rachel WHITE
Mother Birthplace: Ky.
Informant: French COMBS, Diablock
Burial Place: Diablock
Date: 03 April 1944
Signature of funeral director: Engle, Hazard, Ky.
Date received by local registrar: 14 April 1944
Registrar's Signature: Anna L. Boulos
Date of Death: 31 March 1944
I hereby certify that I attended deceased from 30 March 1944
to (blank), that I last saw him alive on (blank), and that
death occurred on the date stated above at 10:30 p.m.
Immediate cause of death: Traumatic Fracture of Skull
Duration: (blank)
Due to: (blank)
Major findings of operations: Pressure from broken bone
frontal region
Accident, suicide, or homicide: Accident
Date of occurrence: 30 March 1944
Where did injury occur: highway-struck by hit &
run (?truck? illegible)
While at work: (blank)
Means of injury:
Signature & Address: R. L. Collins, M.D., Hazard, Ky.
Date signed: (blank)
Transcribed by Debbie Tamborski, 02 June 2010 |
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