Date: 13 April 1948
Cert: 10537
Place of Death: County: Knott City or
Town: Sassfras
Street Number or Location: Home
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Sassfras
Full Name: Mrs. William Riley COMBS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Widowed
Husband or Wife of: William R. COMBS
Age of husband or wife if alive: (blank)
Birth date of deceased: 19 November 1863
Age: 84 years, 07 months, 06 days
Birthplace: Perry Co.
Occupation: House wife
Industry or business: (blank)
Father Name: James S. STACY
Father Birthplace: Va.
Mother Maiden Name: Nancy MORGAN
Mother Birthplace: Harlan Co., Ky.
Informant: Floyd COMBS, Sassfras
Burial Place: Knott Co.
Date: 14 April 1948
Signature of funeral director: Engle's, Hazard, Ky.
Date received by local registrar: 27 April 1948
Registrar's Signature: Cleata D. Cox
Date of Death: 13 April 1948
I hereby certify that I attended deceased from 10 May 1948 to
13 April 1948, that I last saw her alive on 12 April 1948, and
that death occurred on the date stated above at 7 a.m.
Immediate cause of death: Senility
Duration: (blank)
Due to: (blank)
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: 21 April 1948
Transcribed by Debbie Tamborski, 23 December 2010 |