Date: 14 April 1942
Cert: 09532
Place of Death: County: Knott City or
Town: Rural
Street No. or Location: Carrie, Ky.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural
Full Name: Robert COMBS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Mary
Age of husband or wife if alive: 62 years
Birth date of deceased: 08 September 1869
Age: 72 years
Birthplace: Perry
Occupation: Minister
Industry or business: (blank)
Father Name: Nick COMBS
Father Birthplace: Perry Co.
Mother Maiden Name: Salley CORNETTE
Mother Birthplace: Perry Co.
Informant: Chas COMBS, Carrie, Ky.
Burial Place: Carrie
Date: 15 April 1942
Signature of funeral director: Engle Und. & Hdwe., Hazard, Ky.
Date received by local registrar: Ida Livingston
Registrar's Signature: 30 April 1942
Date of Death: 14 April 1942
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw h-- alive on 13 April 1942, and that death
occurred on the date stated above at (blank)
Immediate cause of death: Pernicious anemia
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: J. W. Duke, Hindman, Ky.
Date signed: 30 April 1942
Transcribed by Debbie Tamborski, 17 October 2010 |