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DEATH
CERTIFICATE
LEN MORTON COMBS
Date 11 July 1950
Cert: 15848
Place of Death: County: Fayette City or Town:
Lexington
Length of stay in hospital or community: (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky. County: Knott
City or Town: Carr Creek, Ky.
Full Name: Len Morton COMBS
Date of Death: 11 July 1950
Sex, Color or Race, Marital Status: Male, White, Single
Date of Birth: 30 October 1946
Age: 03 years
Usual Occupation: none
Kind of Industry or business: none
Birthplace: Hazard, Ky.
Father's Name: Morton COMBS
Mother's Maiden Name: Dale S. SMITH
Was deceased in ever in armed forces: no
Social Security No.: none
Informant: Morton COMBS
Disease or condition directly leading to death: Leukemia
Interval between onset and death: 02 months
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings for operation: (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 15 June 1950 to
11 July 1950, that I
last saw the deceased alive on 11 July 1950, and that death occurred on
the date stated above at 11 p.m., from the causes and on the date
stated above.
Date signed: 01 August 1950
Address: 200 W. 2nd, Lexington
Signature: Caroline P. Scott, M.D.
Burial, Cremation or Removal: Burial
Date: 14 July 1950
Name of Cemetery or Creamatory: Combs Cemetery
Location: Cordia, Ky.
Date received by local registrar: 23 August 1950
Registrar's Signature: D. A. Furlong
Funeral director and address: Maggard & Garrett, Hazard,
Ky.
Transcribed by Debbie Tamborski, 16 February 2010 |
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