Date: 20 January 1945
Cert: 01597
Place of Death: County: Knott City or
Town: Sassafras
Street Number or Location: Home
Length of stay in hospital or community: 57
years, 01 months, 08 days
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Sassafras, Ky.
Rural
Full Name: Melvin COMBS
If Veteran Name War: (blank)
Social Security No.: 404-24-8691
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Nancy AMBURGEY COMBS
Age of husband or wife if alive: 55 years, 07 months, 23 days
Birth date of deceased: 12 December 1887
Age: 57 years, 01 months, 08 days
Birthplace: Buncombe, Knott Co., Ky.
Occupation: Miner and farmer
Industry or business: "
Father Name: Andrew COMBS
Father Birthplace: Sassafras, Ky.
Mother Maiden Name: Nancy FRANCIS
Mother Birthplace: Carrs Fork, Ky.
Informant: W. G. COMBS, Chattanooga, Tenn.
Burial Place: Cornett's Hill
Date: 23 January 1945
Signature of funeral director: Charles Cornett, Lothair,
Ky.
Date received by local registrar: 27 January 1945
Registrar's Signature: Ida Livingston Rose B. Craft
Acting L. R.
Date of Death: 20 January 1945
I hereby certify that I attended deceased from (blank) to
20 January 1945, that I last saw him alive on (blank), and
that death occurred on the date stated above at about 2:45
a.m.
Immediate cause of death: Gun shot
Duration: (blank)
Due to: Mental illness
Major findings of operations: (blank)
Accident, suicide, or homicide: Suicide
Date of occurrence: 20 January 1945
Where did injury occur: Home
While at work: No
Means of injury: Shot himself with 22 rifle
Signature & Address: Frazier Adams, J.P.K.C.,
Amburgey, Ky.
Date signed: 25 January 1945
Transcribed by Debbie Tamborski, 26 November 2010 |