Date: 28 May 1948
Cert: 27409
Place of Death: County: Knott City or
Town: Carr Creek, Ky. Rural
Name of Hospital or Institution: none
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky County: Knott
City or Town: Red Fox Rural
Full Name: Kelly COMBS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 22 December 1928
Age: 19 years, 05 months, 06 days
Birthplace: Perry County, Ky.
Occupation: Loading Coal
Industry or business: (blank)
Father Name: Samp COMBS
Father Birthplace: Perry Co., Ky.
Mother Maiden Name: Ada GREEN
Mother Birthplace: Cody, Knott Co., Ky.
Informant: Zella MCINTOSH, Redfox, Ky.
Burial Place: Breedings Creek
Date: 30 May 1948
Signature funeral director: Maggard-Blair & Garrett, Hazard,
Ky.
Date received by local registrar: 14 January 1949
Registrar's Signature: Rose B. Craft
Date of Death: 28 May 1948
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at 8 p.m.
Immediate cause of death: Being crushed under car
Duration: (blank)
Due to: Collision of car and truck. Dead when removed
from under car.
Major findings of operations: (blank)
Accident, suicide, or homicide: Automobile accident
Date of occurrence: 28 May 1948
Where did injury occur: On highway
While at work: no
Means of injury: Car
Signature & Address: J. W. Duke, M.D., Hindman, Ky.
Date signed: 14 January 1949
Transcribed by Debbie Tamborski, 23 December 2010 |