DEATH CERTIFICATE

 AMELEE AMBURGEY

Date:   20 November 1944
Cert:   27647 
Place of Death: County: Knott     City or Town: Tina, Ky.  Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky   County: Knott
City or Town:  Tina     Rural
Full Name:  Amelee AMBURGEY
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Single
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:  11 November 1944
Age: 09 days
Birthplace:  Tina, Knott Co., Ky.
Occupation:  (blank)
Industry or business: (blank)
Father Name:  Otto AMBURGEY
Father Birthplace:  Knott Co., Ky.
Mother Maiden Name:  Arrina COMBS
Mother Birthplace:  Knott Co., Ky.
Informant:  Rhoda HICKS, Tina, Ky.
Burial Place:  Tina, Ky.
Date:  21 November 1944
Signature of funeral director: None - Friends, Tina, Ky.
Date received by local registrar:  08 December 1944
Registrar's Signature:  Ida Livingston  Rose B. Craft Acting Reg.
Date of Death:  20 November 1944
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 (blank)
Immediate cause of death:  Congenital weakness
Duration: (blank)
Due to: Prematurity   No physician present
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: J. W. Duke, M.D., Hindman, Ky.
Date signed:  08 December 1944
Transcribed by Debbie Tamborski, 07 November 2010