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DEATH
CERTIFICATE
NORMAN COMBS
Date 20 December 1933
Cert: 30446
Place of Death: Voting Pct.: Hurst &
Snyder, Hazard, Perry Co., Ky.
Full Name: Norman COMBS
Residence: Sassafras, Ky.
Length of Residence: Life
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of: (blank)
Date of Birth: 16 July 1933
Age: 05 months, 04 days
Occupation: (blank)
Birthplace: Sassafras, Ky.
Father Name: Blaine COMBS
Birthplace Father: Kentucky
Mother Maiden Name: Bessie BOYD
Birthplace Mother: Kentucky
Informant/Address: Blaine COMBS, Sassafras, Ky.
Burial Cremation Removal Place: Sassafras, Ky.
Date: 21 December 1933
Undertaker/Address: H. Engle, Hazard, Ky.
Filed: 09 January 1934
Registrar: J. P. Boggs
Death of Date: 20 December 1933
I hereby certify, That I attended deceased from 17 December
1933 to
20 December 1933, that I last saw h-- alive on (blank), death is said
to have occurred on the date stated above, at (illegible)
Cause of Death: T. B. meningitis
Date of onset: (blank)
Contributory causes: (blank)
Name of operation: none Date of:
(blank)
What test confirmed diagnosis: Spinal fluid exam
Was there an autopsy: no
Accident, suicide, homicide: (blank)
Date of Injury: (blank)
Where did injury occur: (blank)
Specify whether injury occurred industry, home, public place:
Manner of injury: (blank)
Nature of injury: (blank)
Related to occupation: no
Signed/Address: Dana Snyder, Hazard, Ky.
Transcribed by Debbie Tamborski, 01 April 2010 |
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