DEATH CERTIFICATE

 ROLAND COMBS

Date:   15 August 1943
Cert:   15254 
Place of Death: County: Knott     City or Town: Red Fox
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky  County: Knott
City or Town:  Red Fox
Full Name:  Roland COMBS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, Black, Single
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:  15 August 1943
Age: 03 hours
Birthplace:  Red Fox
Occupation:  none
Industry or business: (blank)
Father Name:  Blackman B. COMBS
Father Birthplace:  Red Fox, Ky.
Mother Maiden Name:  Anna Mae WILLIAMS
Mother Birthplace:  Red Fox, Ky.
Informant:  Ivory D. ADAMS, Red Fox, Ky.
Burial Place:  Breedings Creek
Date:  16 August 1943
Signature of funeral director: none, Friends, Red Fox, Ky.
Date received by local registrar:  16 March 1945
Registrar's Signature:  Per B. Carns
Date of Death:  15 August 1943
I hereby certify that I attended deceased from (blank) to (blank), that I last saw him alive on (blank), and that death occurred on the date stated above at (blank)
Immediate cause of death: Mother fell 3 days before labor
Duration: (blank)
Due to: Premature Birth
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. R. Aker, M.D., Anco, Ky.
Date signed:  16 March 1945
Transcribed by Debbie Tamborski, 23 October 2010