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DEATH
CERTIFICATE
MARTHA COMBS
Date 21 August 1944
Cert: 21150
Place of Death: County: Perry City or
Town: Hazard
Name of Hospital or Institution: Hazard Hospital
Length of stay in hospital or community:
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Richie
Full Name: Martha COMBS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Widowed
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: (blank)
Age: 69 years
Birthplace: Knott Co., Ky.
Occupation: H. wife
Industry or business: (blank)
Father Name: YOUNG
Father Birthplace: Ky.
Mother Maiden Name: unknown
Mother Birthplace: (blank)
Informant: Burley COMBS, Richie, Ky.
Burial Place: Richie
Date: 23 August 1944
Signature of funeral director: Engle, Hazard, Ky.
Date received by local registrar: 06 September 1944
Registrar's Signature: Anna Laura Boulos
Date of Death: 21 August 1944
I hereby certify that I attended deceased from 16 August 1944 to
21 August 1944, that I
last saw him alive on 21 August 1944, and that death occurred on the date
stated above at 4:00 p.m.
Immediate cause of death: shock
Due to: mid thigh (rt) amputation due to arteriova???
gangrene
Major findings of operations: arteriova?? gangrene rt thigh &
foot
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature: Chris S. Jackson, M.D., Hazard, Ky.
Date signed: 04 September 1944
Transcribed by Debbie Tamborski, 07 February 2010 |
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