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DEATH
CERTIFICATE
WILLIAM W. COMBS
Date 02 October 1939
Cert: 31324
Place of Death: Vot. Pct. Hazard Hosp. Hazard, Perry Co., KY.
Full Name: William W. COMBS
Residence: Richie, Ky.
Length of Residence: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Martha COMBS
Date of Birth: (blank)
Age: 67 years
Occupation: Coal Miner
Birthplace: Knott Co.
Father Name: Josh COMBS
Birthplace Father: Knott Co.
Mother Maiden Name: Mona COMBS
Birthplace Mother: Knott Co.
Informant/Address: Andrew CORNETT, Richie, Ky.
Burial Cremation Removal Place: Burial - Knott Co.
Date: 04 October 1939
Undertaker/Address: Engle Und. & Hdw. Co., Hazard, Ky.
Filed: 04 December 1939
Registrar: Eunice H. (Ribb--illegible)
Death of Date: 02 October 1939
I hereby certify, That I attended deceased from 30 September
1939 to 02 October 1939, that I last saw him alive on 02
October 1939, death is said to have occurred on the date
stated above, at 2:40 a.m.
Cause of Death: Concussion of brane [sic]
Contributory cause: Car accident
Date of Onset: 30 September 1939
Name of operation: none
Accident, suicide, homicide: Accident
Date of Injury: 30 September 1939
Where did injury occur: Vicco, Ky.
Specify whether injury occurred industry, home, public place:
On State Highway
Manner of injury: Fell from truck
Nature of injury: (blank)
Related to occupation: No
Signed/Address: J. E. Hagan, M.D., Hazard, Ky.
Transcribed by Debbie Tamborski, 03 May 2010 |
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