Date: 28 August 1949
Cert: 49073
Place of Death: County: Knott
City or Town: Rural
Length of stay (in this place): 80 years
Street address or Location: Carrie, Ky.
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural If rural
give precinct: Carrie, Ky.
Full Name: William COMBS
Date of Death: 28 August 1949
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 18 December 1868
Age: 80 years
Usual Occupation: Farmer
Kind of Industry or business: Farming
Birthplace: Knott Co., Ky.
Father's Name: Austin COMBS
Mother's Maiden Name: Bell GODSEY
Was deceased ever in armed forces: No
Social Security No.: None
Informant: Fred COMBS
Disease or condition directly leading to death: Old age
Interval between onset and death: (blank)
Due to: Fall from Ladder
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: Fall
Place of injury: Farm
City or Town, County, State: (blank)
Time of Injury: 26 August 1949
Injury occurred at work: Yes while at work
How did injury occur: Fall from Ladder
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw the deceased alive on (blank), and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: 29 August 1949
Address: Hindman, Ky.
Signature: J. W. Duke, M.D.
Burial, Cremation or Removal: Burial
Date: 31 August 1949
Name of Cemetery or Crematory: Martin
Location: Carrie, Ky.
Date received by local registrar: 01 September 1949
Registrar's Signature: Rose B. Craft
Funeral director/address: Hindman Funeral Home, Hindman, Ky.
Transcribed by Debbie Tamborski, 03 January 2011 |