Date: 01 February 1948
Cert: 12754
Place of Death: County: Knott City or
Town: Handshoe, Ky. Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: 22 years
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Handshoe Rural
Full Name: Mrs. May COLLINS COMBS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: Franklin COMBS
Age of husband or wife if alive: 47 years
Birth date of deceased: 30 August 1905
Age: 42 years, 05 months, 01 days
Birthplace: Yellow Mt., Ky.
Occupation: Housewife
Industry or business: House keeping
Father Name: John COLLINS
Father Birthplace: Yellow Mountain, Ky.
Mother Maiden Name: Lyda PRATER
Mother Birthplace: Yellow Mountain, Ky.
Informant: Franklin COMBS, Handshoe, Ky.
Burial Place: Yellow Mt., Ky.
Date: 03 February 1948
Signature of funeral director: Friends, Yellow Mountain,
Ky.
Date received by local registrar: 10 June 1948
Registrar's Signature: Rose B. Craft
Date of Death: 01 February 1948
I hereby certify that I attended deceased from 01 February
1948 to
01 February 1948, that I last saw her alive on 01 February
1948, and that death
occurred on the date stated above at 2:30 p.m.
Immediate cause of death: Lobar pneumonia
Duration: 06 days
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: Mark Dempsey, M.D., Garrett,
Ky.
Date signed: 18 March 1948
Transcribed by Debbie Tamborski, 23 December 2010 |