Date:  12 April 1949
Cert:  10111 
Place of Death: County: Knott      City or Town: Tina, Ky. Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky.     County:  Knott
City or Town: Tina   Rural     Street Address: (blank)
Full Name:  Nonie Mae COMBS
Date of Death:  12 April 1949
Sex, Color or Race, Marital Status:  Female, White, Married
Date of Birth:  05 May 1914
Age: 35 years
Usual Occupation:  (blank)
Kind of Industry or business: (blank)
Birthplace:  Knott Co., Ky.
Father's Name:  W. T. COLLINS
Mother's Maiden Name:  Dora GIBSON
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  Aster COMBS
Disease or condition directly leading to death:  Myocarditis
Interval between onset and death:  weeks
Due to:  (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from (blank) to (blank), that I last saw the deceased alive on (blank), and that death occurred at (blank), from the causes and on the date stated above.
Date signed:  03 May 1949
Address:  Hazard, Ky.
Signature:  J. C. Coldiron, M.D.
Burial, Cremation or Removal:  Buried
Date:  16 April 1949
Name of Cemetery or Crematory:  Amburgy
Location:  Knott, Ky.
Date received by local registrar: 05 May 1949
Registrar's Signature:  Rose B. Craft
Funeral director & address:  Engle Funeral Home, Hazard, Ky.
Transcribed by Debbie Tamborski, 03 January 2011