DEATH CERTIFICATE

LARKIN COMBS

Date  14 March 1916
Cert: #  8309
Name:  Larkin COMBS
Male, White, Child
Age: 11 years, 07 months, 24 days
Place of Death: Voting Precinct #6, Knott Co., KY
Birth Date: 20 June 1904
Occupation:  (blank)
Place of Birth:  Knott Co., Ky.
Name of Father:  Sam COMBS
Birthplace Father:  Knott Co., Ky.
Maiden Name of Mother:  Rhoda COMBS
Birthplace Mother:  Perry Co., Ky.
Informant:  Sam COMBS, Sassafras, Ky.
Death Date:  14 March 1916
Cause of Death:  Meningitis of brain
Signed:  F. C. Roark, M.D.
Burial Place:  (Illegible) G. Combs
Date of Burial:  15 March 1916
Undertaker:  Sam Combs, Sassafras, Ky.
File Date:  15 March 1916
Transcribed by Debbie Tamborski, 25 November 2008