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DEATH
CERTIFICATE
LEVI DEWEY COMBS
Date: 31 August 1950
Cert: 21472
Place of Death: County: Perry City or Town:
Jeff
Length of stay (in this place): (blank)
Name of Hospital or Institution: none
Usual Residence of Deceased: State: Ky. County:
Perry
City or Town: Jeff, Ky. Street Address: (blank)
Full Name: Levi Dewey COMBS
Date of Death: 31 August 1950
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 30 March 1899
Age: 51 years
Usual Occupation: Miner
Kind of Industry or business: Mines
Birthplace: Knott County, Ky.
Father's Name: John COMBS
Mother's Maiden Name: Delzina SMITH
Was deceased ever in armed forces: No
Social Security No.: 400-10-1019
Informant: Mrs. Delsie COMBS
Disease/condition directly leading to death: Enlargement
of heart
Interval between onset and death: unknown
Due to (b): ascites
Due to (c): Acute dilatation of heart
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: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 1947 to present
time, that I last saw the deceased alive on Friday (illegible), and
that death occurred at 4:00 a.m., from the causes and on the
date stated above.
Date signed: 31 August
Address: Hazard
Signature: (illegible) Adkins, M.D.
Burial, Cremation or Removal: Burial
Date: 02 September 1950
Name of Cemetery or Crematory: Hill Cemetery
Location: Jeff, Ky.
Date received by local registrar: 02 September 1950
Registrar's Signature: Georgia Pendleton
Funeral director & address: Maggard & Garrett,
Hazard, Ky.
Transcribed by Debbie Tamborski, 14 July 2010 |
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