DEATH CERTIFICATE

LEWIS COMBS

Date:  05 March 1952
Cert:  05682 
Place of Death: County: Knott     City or Town: Lick Branch of Ball
Length of stay (in this place): (blank)
Name of Hospital or Institution:  (blank)
Usual Residence of Deceased: State: Kentucky   County: Perry
City or Town:  Ary, Rural    Street Address: (blank)
Full Name:  Lewis COMBS
Date of Death:  05 March 1952
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth:  19 May 1908
Age: 43 years
Usual Occupation: Logging
Kind of Industry or business: Timber
Birthplace:  Noble, Ky.
Father's Name:  Ike COMBS
Mother's Maiden Name:  Mary CAMPBELL
Was deceased ever in armed forces: No
Social Security No.: (blank)
Informant:  I. V. COMBS
Disease or condition directly leading to death: Heart Attack
Interval between onset and death:  35 minutes
Due to:  Acute Dilatation of Heart
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: (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:  31 March 1952
Address:  Hindman, Ky.
Signature:  M. F. Kelley
Burial, Cremation or Removal:  Burial
Date:  07 March 1952
Name of Cemetery or Crematory:  (blank)
Location:  Knott County, Ky.
Date received by local registrar: 31 March 1952
Registrar's Signature:  Rose B. Craft
Funeral director & address:  Friends and family
Transcribed by Debbie Tamborski, 24 January 2011