Date: 14 February 1944
Cert: 07542
Place of Death: County: Knott City or
Town: Litt Carr, Ky.
Street Number or Location: Rural
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Litt Carr, Ky.
Street No.: Rural
Full Name: Donald Morris AMBURGEY
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 26 January 1944
Age: 19 days
Birthplace: Knott Co., Ky.
Occupation: None
Industry or business: (blank)
Father Name: Willis AMBURGEY
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Dovie BAILEY
Mother Birthplace: Knott Co., Ky.
Informant: Willis AMBURGEY, Litt Carr, Ky.
Burial Place: Buried at Litt Carr
Date: 15 February 1944
Signature of funeral director: Neighbors, Litt Carr, Ky.
Date received by local registrar: 06 March 1944
Registrar's Signature: Ida Livingston
Date of Death: 14 February 1944
I hereby certify that I attended deceased from 13 February
1944 to
14 February 1944, that I last saw him alive on 14 February
1944, and that death
occurred on the date stated above at 4 a.m.
Immediate cause of death: Concussion of the brain
Duration: (blank)
Due to: Child was dropped by four year old sister
Major findings of operations: (blank)
Accident, suicide, or homicide: Accident
Date of occurrence: 13 February 1944
Where did injury occur: Home
While at work: (blank)
Means of injury: Fall
Signature & Address: M. F. Kelley, M.D., Hindman, Ky.
Date signed: 06 March 1944
Transcribed by Debbie Tamborski, 07 November 2010 |