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 |