Date: 16 June 1952
Cert: 15201
Place of Death: County: Knott
City or Town: Cordia
Length of stay (in this place): (blank)
Street address or location: Home (rural)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Cordia Street
Address: rural
Full Name: Anna COMBS WILLIAMS
Date of Death: 16 June 1952
Sex, Color or Race, Marital Status: Female, White, Widow
Date of Birth: 13 April 1874
Age: 87 years
Usual Occupation: Housewife
Kind of Industry or business: Home
Birthplace: Knott Co., Ky.
Father's Name: Levi COMBS
Mother's Maiden Name: Sylvia GRIGSBY
Was deceased ever in armed forces: No
Social Security No.: (blank)
Informant: Mary E. COMBS
Disease/condition directly leading to death: Coronary
Occlusion
Interval between onset and death: (blank)
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from May 1952 to
June 1952, that I last saw the deceased alive on May 1952, and
that death occurred at 11 p.m., from the causes and on the
date stated above.
Date signed: 19 June 1952
Address: Hazard, Ky.
Signature: D. L. (illegible) M.D.
Burial, Cremation or Removal: Burial
Date: 19 June 1952
Name of Cemetery or Crematory: Williams
Location: Cordia, Knott, Ky.
Date received by local registrar: 20 June 1952
Registrar's Signature: Rose B. Craft
Funeral director & address: Engle Funeral Home, O.
L. Compton, Hazard, Ky.
Transcribed by Debbie Tamborski, 28 January 2011 |