Date: 05 June 1948
Cert: 19028
Place of Death: County: Knott City or
Town: Bath, Ky. Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Bath Rural
Full Name: Monroe COMBS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Millie AMBURGEY
Age of husband or wife if alive: 49 years
Birth date of deceased: 26 June 1889
Age: 58 years, 11 months, 09 days
Birthplace: Perry Co., Ky.
Occupation: Farmer
Industry or business: (blank)
Father Name: Dave COMBS
Father Birthplace: Virginia
Mother Maiden Name: Nancy NEICE
Mother Birthplace: Kentucky
Informant: Millie COMBS, Bath, Ky.
Burial Place: Jas Gibson Cem., Bath, Ky.
Date: 06 June 1948
Signature of funeral director: Friends, Bath, Ky.
Date received by local registrar: 16 September 1948
Registrar's Signature: Rose B. Craft
Date of Death: 05 June 1948
I hereby certify that I attended deceased from 21 April 1948 to
26 April 1948, that I last saw him alive on 21 April 1948, and
that death occurred on the date stated above at 6:30 p.m.
Immediate cause of death: Uremia
Duration: 1 1/2 months
Due to: Malignant hypertension and Chr. nephritis
Duration: 05 years
Other conditions: angina pectoris
Duration: 06 months
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: D. G. Barker, M.D., Hindman, Ky.
Date signed: 14 September 1948
Transcribed by Debbie Tamborski, 23 December 2010 |