Date: 22 November 1950
Cert: 27539
Place of Death: County: Knott
City or Town: Rural
Length of stay (in this place): (blank)
Street address or location: Amburgey, Ky.
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural If rural give
precinct: Amburgey, Ky.
Full Name: Hillard AMBURGEY
Date of Death: 22 November 1950
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 24 April 1900
Age: 50 years
Usual Occupation: Miner
Kind of Industry or business: Mining
Birthplace: Floyd Co., Ky.
Father's Name: John AMBURGEY
Mother's Maiden Name: Nancy SMITH
Was deceased ever in armed forces: (blank)
Social Security No.: 405-07-9376
Informant: Hiram AMBURGEY
Disease or condition directly leading to death: Heart
Condition
Interval between onset and death: (blank)
Due to (b): Fist Fight
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: Yes
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 (blank), from the causes and on the
date stated above.
Date signed: 24 November 1950
Address: Hindman, Ky.
Signature: J. N. Taul (Coroner)
Burial, Cremation or Removal: Burial
Date: 24 November 1950
Name of Cemetery or Crematory: Family Cemetery
Location: Smithsboro, Ky.
Date received by local registrar: 09 December 1950
Registrar's Signature: Rose B. Craft
Funeral director/address: Hindman Funeral Home, Hindman, Ky.
Transcribed by Debbie Tamborski, 10 January 2011 |