Date: 20 August 1949
Cert: 27867
Place of Death: County: Knott
City or Town: Handshoe
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky.
County: Floyd
City or Town: Garrett Street Address:
(blank)
Full Name: Leo COMBS
Date of Death: 20 August 1949
Sex, Color or Race, Marital Status: Male, White, Single
Date of Birth: 12 October 1932
Age: 16 years
Usual Occupation: None
Kind of Industry or business: (blank)
Birthplace: Kentucky
Father's Name: Ben COMBS
Mother's Maiden Name: Cora BOLEN
Was deceased ever in armed forces: No
Social Security No.: (blank)
Informant: Ben COMBS
Disease or condition directly leading to death: Head
crushed beneath wheels of truck.
Interval between onset and death: (blank)
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: Not While at work
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: 27 December 1950
Address: Hindman, Ky.
Signature: J. W. Duke, M.D.
Burial, Cremation or Removal: Burial
Date: 23 August 1949
Name of Cemetery or Crematory: Garrett Cem.
Location: Garrett, Kentucky
Date received by local registrar: 27 December 1950
Registrar's Signature: Rose B. Craft
Funeral director & address: G. D. Ryan, Martin, Ky.
Transcribed by Debbie Tamborski, 03 January 2011 |