Date: 04 February 1948
Cert: 03518
Place of Death: County: Knott City or
Town: Sassafras
Name of Hospital or Institution: None
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Sassafras
Full Name: Willie COMBS
If Veteran Name War: None
Social Security No.: 407-01-9078
Sex, Color or Race, Marital Status: Male, White,
Married
Husband or Wife of: Rushia COMBS
Age of husband or wife if alive: 55 years
Birth date of deceased: 24 May 1889
Age: 58 years, 08 months, 10 days
Birthplace: Sassafras, Ky.
Occupation: Farmer
Industry or business: Farm
Father Name: Riley COMBS
Father Birthplace: Knott County, Ky.
Mother Maiden Name: Sally FRANCIS
Mother Birthplace: Knott County, Ky.
Informant: Leonard L. COMBS, London, Ky.
Burial Place: Sassafras
Date: 07 February 1948
Signature funeral director: Maggard-Blair & Garrett,
Hazard, Ky.
Date received by local registrar: 21 February 1948
Registrar's Signature: Rose B. Craft
Date of Death: 04 February 1948
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at 6:20 a.m.
Immediate cause of death: Cardiac decompenstation
Duration: months
Due to: Hypertensive & arterio sclerotic ht. disease
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: Martin Palmer, M.D., Hazard,
Ky.
Date signed: 17 February 1948
Transcribed by Debbie Tamborski, 23 December 2010 |