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DEATH
CERTIFICATE
RACHEEL COMBS
Date 15 April 1946
Cert: 09851
Place of Death: County: Perry City or
Town: Hazard
Name of Hospital or Institution: Hazard Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Richey
Full Name: Racheel COMBS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: Aster COMBS
Age of husband or wife if alive: 46
Birth date of deceased: 19000 [sic]
Age: 46 years
Birthplace: Knott Co.
Occupation: House wife
Industry or business: (blank)
Father Name: Brice Shepherd
Father Birthplace: Knott Co.
Mother Maiden Name: Martha BOYLIN
Mother Birthplace: Knott Co.
Informant: Aster COMBS, Richey, Ky.
Burial Place: Holliday Cem.
Date: 17 April 1946
Signature of funeral director: L. Riley Townsend, Hazard, Ky.
Date received by local registrar: 16 April 1946
Registrar's Signature: Opsie J. Deaton
Date of Death: 15 April 1946
I hereby certify that I attended deceased from 11 April 1946 to
15 April 1946, that I
last saw him alive on 15 April 1946, and that death occurred on the date
stated above at 9:30 a.m.
Immediate cause of death: Peritinitis Duration:
04 days
Due to: Ruptured bladder, fractured pelvis, ribs, collar
bone, & compound of rt. leg
Major findings of operations: Ruptured bladder
Accident, suicide, or homicide: Accident
Date of occurrence: 11 April
Where did injury occur: Public Highway
While at work: (blank)
Means of injury: (blank)
Signature: J. E. Hagan, M.D., Hazard, Ky.
Date signed: 16 April 1946
Transcribed by Debbie Tamborski, 10 February 2010 |
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