Date:   31 January 1943
Cert:   04287
Place of Death: County: Knott     City or Town: Rural
Street No. or Location:  Ritchie
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town:  Rural     If rural, give precinct:  Ritchie
Full Name:  Sam COMBS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:  (blank)
Age: 48 years
Birthplace:  Knott Co.
Occupation:  Farmer
Industry or business: (blank)
Father Name:  Felix COMBS
Father Birthplace:  Knott Co.
Mother Maiden Name:  Ida COMBS
Mother Birthplace:  Knott Co.
Informant:  Irvin HALL, Ritchie
Burial Place:   Ritchie
Date:  01 February 1943
Signature of funeral director: Engle Und. & Hdwe., Hazard, Ky.
Date received by local registrar:  08 March 1943
Registrar's Signature:  Ida Livingston
Date of Death:  31 January 1943
I hereby certify that I attended deceased from 23 January 1943 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:  Pulmonary Tuberculosis
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: S. M. Richie, M.D., Hazard
Date signed:  01 February 1943 
Transcribed by Debbie Tamborski, 23 October 2010