DEATH
CERTIFICATE
PEARL COMBS
Date 29 April 1932
Cert: Original #8010 Duplicate
#8009
Place of Death: Voting Pct: Clayhole, Breathitt Co., Ky.
Full Name: Pearl COMBS
Residence: (blank)
Length of Residence in city where death occurred:
(blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Rebecca COMBS
Date of Birth: 14 December 1896
Age: 36 years
Occupation: Farmer
Birthplace: Knott County
Father Name: Andy COMBS
Birthplace Father: Knott County
Mother Maiden Name: Dulcina (Maggard
crossed out) CORNETT
Birthplace Mother: (blank)
Informant/Address: Wife, Rebecca COMBS, Breathitt County
Burial Cremation Removal Place: Hardshell
Date: 01 May 1932
Undertaker/Address: none
Filed: 02 May 1932
Registrar: Mrs. A. W. Brown
Death of Date: 29 April 1932
I hereby certify, That I attended deceased from 25 April 1932
to 29 April 1932, that I last saw him alive on 25 April 1932,
death is said to have occurred on the date stated above, at 9
p.m.
Cause of Death: Pulmonary Tuberculosis
Date of onset: 06 years ago
Contributory causes: (blank)
Name of operation: None
What tests confirmed diagnosis: no
Was there an autopsy: no
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: J. C. McGuire, M.D., Jackson, Ky.
Transcribed by Debbie Tamborski, 31 March 2010 |
|