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CERTIFICATE OF DEATH State File no. 71-069332 Registrar’s no. 3714 NAME: Ethel (Dora) H.(Hornbuckle) Combs SEX: Female DATE OF DEATH: 5:05 PM Nov 2, 1971 SOCIAL SECURITY #: 263-20-9836 Loc. at time of death: Boulevard Manor Nursing Home, Boynton Beach, Palm Beach, Fla. Race: white age 69 Occupation: Housewife Residence: 1415 No. J Street, Lake Worth, Palm Beach, Fla. Date of Birth: 19 Feb. 1902 Place of Birth: (Greenup Co.) Kentucky Parents: Grant Hornbuckle and Grace Davis Married: Vernon Combs Informat: Richard Combs of Box 447 Boynton Beach, Fla. (Vernon Combs Jr.’s brother) Cause of death: Occusion Aorta at Bifrucation. and Arteriosecerotis Cardovascular Disease. Other significant conditions: Cerebral Thrombosis E Right Hemisphegia Autopsy: no. Doctor: J. Russell Forlaw from 1959 to death, 2800 S. Seacrest Blvd, Boynton Beach Fla. 33435. Burial: Memory Gardens, Lake Worth, Fla. on 5 Nov. 1971. Funeral Director; L. Don Combs of Scobee-Combs F.H. 1622 NE 4th Street, Boynton, Fla.
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