Date 25 September 1954
Cert: # 20296
Place of Death: County: Knott
City or Town: Omaha
Length of stay in hospital or community: (blank)
Name of Hospital or Institution:
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Omaha
Full Name: Bonnie Amburgey
Date of Death: 25 September 1954
Sex, Color or Race, Marital Status: female, white, divorced
Date of Birth: 09 September 1904
Age: 50
Usual Occupation: Housewife
Kind of Industry or business: (blank)
Birthplace: Kentucky
Father's Name: Noah Amburgey
Mother's Maiden Name: Minnie Collins
Was deceased in ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Jean Amburgey
Disease or condition directly leading to death: Heart Failure
Interval between onset and death:
Due to: Cardiac Thrombosis
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings for operation: (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 to (blank),
that I last saw the deceased alive on , and that death
occurred on the date stated above at from the causes and on
the date stated above. (all above dates illegible)
Date signed: 15 October 1954
Address: Whitesburg, KY
Signature: Mrs. Archie Craft
Burial, Cremation or Removal: Burial
Date: 30 September 1954
Name of Cemetery or Crematory: illegible
Location: Illegible
Date received by local registrar: 19 October 1954
Registrar's Signature: Myrtle Slone
Funeral director and address: illegible
Transcribed by Gloria Marcum ~ 15 March 2010 |