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DEATH
CERTIFICATE
POLLY ANN COMBS
Date 07 April 1912
Cert: # 28
Name: Polly Ann COMBS
Female, White, Widow
Age: 82 years, 03 months
Place of Death: Voting Precinct #10 Hazard, Perry Co., KY
Birth Date: 03 May 1830
Occupation: Housewife
Place of Birth: Leslie Co.
Name of Father: Jessie MATINGLEY
Birthplace Father: Ky., Perry Co.
Maiden Name of Mother: Nancy BOWLING
Birthplace Mother: Lesley Co., Ky.
Informant: (blank)
Death Date: 07 April 1912
Cause of Death: apoplexy
Signed: C. A. Eversole, M.D.
Burial Place: (blank)
Date of Burial: (blank)
Undertaker: (blank)
File Date: (blank)
Transcribed by Debbie Tamborski, 02 December 2008 |
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