Date: 15 February 1953
Cert: 03602
Place of Death: County: Letcher City or Town: Colson
Length of stay (in this place): (blank)
Street address or location: Home
Usual Residence of Deceased: State: Ky. County: Letcher
City or Town: Colson
Street Address: head of Trace near Knott Co., Line
Full Name: Green AMBURGEY
Date of Death: 15 February 1953
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 30 December 1869
Age: 85 years, 01 months, 15 days
Usual Occupation: Farming
Kind of Industry or business: (blank)
Birthplace: Kentucky (Knott Co.)
Father's Name: Lilly AMBURGEY
Mother's Maiden Name: not stated
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Paul YORK (step-son)
Disease or condition directly leading to death: Myocardial Decompensation with Ascites
Interval between onset and death: 3-4 years
Due to: Chr. Myocardial Failure
Interval between onset and death: years
Date of Operation: (blank)
Major findings of operation: (from history and see him occasionally)
Autopsy: no
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 (blank) to (blank), that I last saw the deceased alive on (blank), and that death occurred at 4 a.m., from the causes and on the date stated above.
Date signed: 19 February 1953
Address: Whitesburg, Ky.
Signature: R. D. Collins, M.D.
Burial, Cremation or Removal: Burial
Date: 18 February 1953
Name of Cemetery or Crematory: C. B. Logan Cemetery
Location: Bath, Knott County, Ky.
Date received by local registrar: 19 February 1953
Registrar's Signature: G. W. Collins
Funeral director/address: Craft Funeral Home, Whitesburg, Ky.
Transcribed by Debbie Tamborski, 12 August 2010