|
DEATH
CERTIFICATE
LLOYD COMBS
Date 08 March 1929
Cert: 17881
Place of Death: Voting Precinct: Perry Co., Ky.
Full Name: Lloyd COMBS
Sex, Color or Race, Marital Status: Male, White, Single
Date of Birth: 21 December 1917
Age: 11 years, 02 months, 15 days
Occupation: infant
Birthplace: Knott Co., Ky.
Name of Father: Shade COMBS (deceased)
Birthplace Father: Knott Co., Ky.
Maiden name of Mother: Sara RITCHIE (deceased)
Birthplace Mother: Knott Co., Ky.
Informant/Address: (Uncle) Willie COMBS, Sassafras, Ky.
Filed: 19 June 1929
Registrar: C. D. Combs
Death Date: 08 March 1929
I hereby certify that I attended deceased from 05 March 1929,
to 08 March 1929, that I last saw him alive on 08 March 1929,
and that death occurred, on the date stated above at 5 p.m.
Cause of Death: Double lobar pneumonia
Duration: 10 days
Contributory: Generalized pulmonary
tuberculosis Duration: Life
Signed/Address: Arthur Vandevert, M.D.,
10 March 1929, Allock, Ky.
Place of Burial or Removal: Sassafras Cemetery
Date of Burial: 09 March 1929
Undertaker/Address: (blank)
Transcribed by Debbie Tamborski, 27 March 2010 |
|