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DEATH
CERTIFICATE
LULA COMBS
Date 24 July 1941
Cert: 20821
Place of Death: County: Perry City or Town:
Hazard
Name of Hospital or Institution: Hazard Hosp. Co.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Knott
City or Town: Hindman
Full Name: Lula COMBS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: Monroe COMBS
Age of husband or wife if alive: 62 years
Birth date of deceased: 02 December 1889
Age: 50 years, 07 months, 02 days
Birthplace: Knott County
Occupation: House wife
Industry or business: (blank)
Father Name: ADKINS
Father Birthplace: ?
Mother Maiden Name: ?
Mother Birthplace:
Informant: Eveline COMBS, Hindman, Ky.
Burial Place: Hindman, Ky.
Date: 25 July 1941
Signature of funeral director: Engle (illegible) & Hdwe. Co.
Date received by local registrar: 18 August 1941
Registrar's Signature: Kathryn S. Johnson
Date of Death: 24 July 1941
I hereby certify that I attended deceased from 23 July 1941 to
24 July 1941, that I
last saw her alive on 24 July 1941, and that death occurred on the date
stated above at 11 p.m.
Immediate cause of death: Shock
Due to: Mechanical intestinal obstruction due to
large gallstone eroding through gall bladder into abdomen
Major findings of operations: above
Accident, suicide, or homicide: no
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature: R. L. Collins, M.D., Hazard, Ky.
Date signed: 18 August 1941
Transcribed by Debbie Tamborski, 31 January 2010 |
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