DEATH CERTIFICATE

WILEY A. COMBS

Date:  28 December 1951
Cert:  26633 
Place of Death: County: Knott      City or Town: Emmalena
Length of stay (in this place): Life
Name of Hospital or Institution:  (blank)
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town: Emmalena     Street Address: (blank)
Full Name:  Wiley A. COMBS
Date of Death:  28 December 1951
Sex, Color or Race, Marital Status: Male, White, (illegible)
Date of Birth:  06 January 1860
Age:  91 years
Usual Occupation: (illegible)
Kind of Industry or business: (blank)
Birthplace: (illegible)
Father's Name:  (illegible)
Mother's Maiden Name:  Polly PATTON
Was deceased ever in armed forces: (blank)
Social Security No.: None
Informant: (illegible)
Disease or condition directly leading to death: Disease of heart
Interval between onset and death:  (blank)
Due to:  Senility
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 1951 to 28 December 1951, that I last saw the deceased alive on 27 December 1951, and that death occurred at 8 p.m., from the causes and on the date stated above.
Date signed:  04 January 1952
Address:  Hindman, Ky.
Signature:  M. F. Kelley
Burial, Cremation or Removal:  Burial
Date:  (illegible) December 1951
Name of Cemetery or Crematory:  Family Cemetery
Location:  Emmalena, Ky.
Date received by local registrar: 04 January 1952
Registrar's Signature:  Rose B. Craft
Funeral director & address:  Charles F. Hornsby, Hindman, Ky.
Transcribed by Debbie Tamborski, 18 January 2011