Date: 02 December 1953
Cert: 27432
Place of Death: County: Knott
City or Town: Lackey, Ky. Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: Stumbo Memorial Hosp.
Usual Residence of Deceased: State: Ky.
County: Floyd
City or Town: Garrett If rural
give location: on Jones Fork
Full Name: Vernon Combs
Date of Death: 02 December 1953
Sex, Color or Race, Marital Status: Male, White, Widowed
Date of Birth: 13 February 1894
Age: 59 years
Usual Occupation: Mining
Kind of Industry or business: Coal
Birthplace: Knott Co., Ky.
Father's Name: Billy COMBS
Mother's Maiden Name: Dulcena CAMPBELL
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Dewey V. COMBS
Disease/condition directly leading to death: Myocardial
Infarction
Interval between onset and death: (blank)
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 01 December
1953 to
02 December 1953, that I last saw the deceased alive on 02
December 1953, and
that death occurred at 12:45 a.m., from the causes and on the
date stated above.
Date signed: 05 December 1953
Address: Lackey, Ky.
Signature: Eldon Dylass, M.D.
Burial, Cremation or Removal: Burial
Date: 04 December 1953
Name of Cemetery or Crematory: Family Cem.
Location: Garrett, Ky.
Date received by local registrar: 12 December 1953
Registrar's Signature: Rose B. Craft
Funeral director & address: Hall Bros., Martin, Ky.
Transcribed by Debbie Tamborski, 07 February 2011 |