Date: 31 August 1946
Cert: 06625
Place of Death: County: Knott City or
Town: Carr Creek, 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: (blank)
Full Name: Barbara Elizabeth 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: 31 August 1946
Age: 06 hours
Birthplace: Carr Creek, Ky.
Occupation: Infant
Industry or business: (blank)
Father Name: Maynard AMBURGEY
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Frances LEE
Mother Birthplace: Hickman, Ky.
Informant: Mrs. Maynard AMBURGEY, Carr Creek, Ky.
Burial Place: Carr Creek, Ky.
Date: 01 September 1946
Signature of funeral director: None
Date received by local registrar: 01 March 1946
(transcribed as written)
Registrar's Signature: Rose B. Craft
Date of Death: 31 August 1946
I hereby certify that I attended deceased from 31 August 1946 to
31 August 1946, that I last saw him alive on 31 August 1946,
and that death occurred on the date stated above at 9 a.m.
Immediate cause of death: Pneumonia
Duration: (blank)
Due to: (blank)
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: M. F. Kelley, M.D., Hindman,
Ky.
Date signed: 28 March 1947
Transcribed by Debbie Tamborski, 03 December 2010 |