Date: 22 October 1947
Cert: 24772
Place of Death: County: Knott City or
Town: Sasassfas
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Sasassfas
Full Name: William Riley COMBS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White,
Married
Husband or Wife of: Mrs. W. R. COMBS
Age of husband or wife if alive: 84 years
Birth date of deceased: 01 November 1868
Age: 78 years, 11 months, 21 days
Birthplace: Knott County, Ky.
Occupation: Farmer
Industry or business: Coal Operator
Father Name: Jackson COMBS
Father Birthplace: Knott
Mother Maiden Name: Mary YOUNG
Mother Birthplace: Knott
Informant: James COMBS, Allock, Ky.
Burial Place: Combs (Knott)
Date: 23 October 1947
Signature of funeral director: Engles, Hazard, Ky.
Date received by local registrar: 16 November 1947
Registrar's Signature: Rose B. Craft By L. Roth
Date of Death: 22 October 1947
I hereby certify that I attended deceased from 05 February
1947 to
22 November 1947, that I last saw him alive on 21 November
1947, and that death
occurred on the date stated above at 6 a.m.
Immediate cause of death: Cardiac Decompensation
Duration: (blank)
Due to: Senility
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: A. B. Pigman, M.D., Allock
Date signed: 06 November 1947
Transcribed by Debbie Tamborski, 16 December 2010 |