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DEATH
CERTIFICATE
LAWRENCE COMBS
Date: 08 January 1950
Cert: 06053
Place of Death: County: Perry City or Town:
Hazard
Length of stay (in this place): (blank)
Name of Hospital or Institution: Mt. Mary Hospital
Usual Residence of Deceased: State: Kentucky County:
Perry
City or Town: Rural Dwarf Street
Address: Dwarf
Full Name: Lawrence COMBS
Date of Death: 08 January 1950
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 24 February 1913
Age: 36 years
Usual Occupation: Coal miner
Kind of Industry or business: Soft coal mine
Birthplace: Knott County, Kentucky
Father's Name: Woodrow COMBS
Mother's Maiden Name: Anna MESSER
Was deceased ever in armed forces: no
Social Security No.: (blank)
Informant: Mrs. Anna COMBS, mother, Emmalena, Ky.
Disease or condition directly leading to death: Gunshot
wound to head (back of left ear)
Interval between onset and death: (blank)
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: no
Accident, suicide, or homicide: Homicide
Place of injury: Public place
City or Town, County, State: Perry, Ky.
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw the deceased alive on (blank), and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: 08 January 1950
Address: Hazard, Kentucky
Signature: Hannibal Shockey, Coroner, Perry County,
Kentucky
Burial, Cremation or Removal: Burial
Date: 09 January 1950
Name of Cemetery or Crematory: Combs cemetery
Location: Emmalena, Knott Co., Ky.
Date received by local registrar: 03 (illegible) 1950
Registrar's Signature: Georgia Pendleton
Funeral director & address: Johnson Funeral Home, Hazard,
Ky.
Transcribed by Debbie Tamborski, 14 July 2010 |
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