Date: 26 January 1941
Cert: 10604
Place of Death: County: Knott City or
Town: Smithsboro
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Smithsboro
Full Name: Rhoda COMBS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Widowed
Husband or Wife of: Spencer COMBS
Age of husband or wife if alive: (blank)
Birth date of deceased: 07 February 1863
Age: 77 years
Birthplace: Knott Co., Ky.
Occupation: House Work
Industry or business: (blank)
Father Name: Robert S. CORNETT
Father Birthplace: Knott Co.
Mother Maiden Name: Adaline BRASHEAR
Mother Birthplace: Perry Co., Ky.
Informant: Belle STURGILL, Smithsboro, Ky.
Burial Place: Smithsboro
Date: 28 January 1941
Signature of funeral director: (blank)
Date received by local registrar: 22 April 1941
Registrar's Signature: Macie Miller
Date of Death: 26 January 1941
I hereby certify that I attended deceased from (blank) to
Several months, that I last saw him alive on (blank), and that death
occurred on the date stated above at (blank)
Immediate cause of death: General debility due from
(?Harding? illegible)
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: G. D. Ison, M.D., Blackey, Ky.
Date signed: 20 April 1941
Transcribed by Debbie Tamborski, 11 October 2010 |