Date: 06 March 1945
Cert: 06252
Place of Death: County: Knott City or
Town: Litt Carr (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: Litt Carr (Rural) If
rural given precinct: Upper Middle Carr #2
Full Name: Mrs. Fransis COMBS AMBURGEY
If Veteran Name War: No
Social Security No.: None
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: Monroe AMBURGEY
Age of husband or wife if alive: 45 years
Birth date of deceased: 14 August 1905
Age: 39 years, 06 months, 20 days
Birthplace: Tulare, California
Occupation: Housewife
Industry or business: Self
Father Name: William Cullen COMBS
Father Birthplace: Bunscomb, Kentucky
Mother Maiden Name: Ethel Mae HAMLIN
Mother Birthplace: Iowa
Informant: Monroe AMBURGEY, Litt Carr, Kentucky
Burial Place: Burial Stamper Grave Yard, Knott Co.
Date: 13 March 1945
Signature of funeral director: Evans Funeral Home,
Whitesburg, Kentucky
Date received by local registrar: 16 March 1945
Registrar's Signature: Rose B. Craft
Date of Death: 06 March 1945
I hereby certify that I attended deceased from 06 March 1945 to
05 March 1945, that I last saw him alive on 06 March 1945, and
that death occurred on the date stated above at 5 a.m.
Immediate cause of death: Shock
Duration: (blank)
Due to: Childbirth
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. R. Aker, M.D., Anco, Ky.
Date signed: 16 March 1945
Transcribed by Debbie Tamborski, 26 November 2010 |