Date: 28 October 1949
Cert: 23445
Place of Death: County: Knott
City or Town: Rural
Length of stay (in this place): 03 days
Name of Hospital or Institution: Stumbo Hospital
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural If rural give
precinct: Hindman, Ky.
Full Name: Lizzie COMBS
Date of Death: 28 October 1949
Sex, Color Race, Marital Status: Female, White, Never Married
Date of Birth: 03 February 1947
Age: 01 1/2 years
Usual Occupation: None
Kind of Industry or business: None
Birthplace: Knott Co., Ky.
Father's Name: Leonard COMBS
Mother's Maiden Name: Allie FAIR
Was deceased ever in armed forces: (blank)
Social Security No.: None
Informant: Leonard COMBS
Disease or condition directly leading to death:
Meningitis
Interval between onset and death: (blank)
Due to: Type undetermined
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 25 October 1949 to
28 October 1949, that I last saw the deceased alive on 28
October 1949, and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: 25 November 1949
Address: Lackey, Ky.
Signature: C. M. Aker, M.D.
Burial, Cremation or Removal: Burial
Date: 28 October 1949
Name of Cemetery or Crematory: Family
Location: Hindman, Ky.
Date received by local registrar: 29 November 1949
Registrar's Signature: Rose B. Craft
Funeral director/address: Hindman Funeral Home by J. N.
Taul
Transcribed by Debbie Tamborski, 03 January 2011 |