Date: 21 September 1946
Cert: 22198
Place of Death: County: Knott City or
Town: Safrass, Ky.
Street Number or Location: At Home
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Sassafras Rural
Full Name: Sam COMBS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Bertha COMBS
Age of husband or wife if alive: 46 years
Birth date of deceased: 02 January 1880
Age: 66 years, 08 months, 19 days
Birthplace: Knott Co.
Occupation: Farmer
Industry or business: (blank)
Father Name: Riley COMBS
Father Birthplace: Knott Co.
Mother Maiden Name: Sara FRANKLING
Mother Birthplace: Knott Co.
Informant: Raymond COMBS, Sassafras
Burial Place: Cornett Hill
Date: 25 September 1946
Signature of funeral director: Maggard & Blair Funeral
Home, Hazard, Ky.
Date received by local registrar: 02 October 1946
Registrar's Signature: Mrs. Rose B. Craft
Date of Death: 21 September 1946
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on 21 September 1946, and
that death occurred on the date stated above at 9:30 p.m.
Immediate cause of death: Convulsions Heart failure &
apoplexy
Duration: (blank)
Due to: Hypertension & heart block
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: 28 September 1946
Transcribed by Debbie Tamborski, 04 December 2010 |