Date: 28 August 1951
Cert: 20842
Place of Death: County: Knott
City or Town: Brinkley
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Brinkley Street Address:
(blank)
Full Name: John P. AMBURGEY
Date of Death: 28 August 1951
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 01 January 1892
Age: 59 years
Usual Occupation: Miner
Kind of Industry or business: Coal
Birthplace: Kentucky
Father's Name: Jasper AMBURGEY
Mother's Maiden Name: Nancy Ann STACY
Was deceased ever in armed forces: Yes, World War I
Social Security No.: 404-09-6003
Informant: Mrs. John P. AMBURGEY
Disease or condition directly leading to death:
Cerebrovascular accident
Interval between onset and death: 10 days
Due to: Hypertensive Cardio Vascular Disease
Interval between onset and death: Several years
Other significant conditions: Cardiac Decompensation
Interval between onset and death: 06 - 08 months
Date of Operation: (blank)
Major findings of operation: (blank)
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 26 August 1951
to 27 August 1951, that I last saw the deceased alive on 27
August 1951, and that death occurred at 6:15 p.m., from the
causes and on the date stated above.
Date signed: 05 September 1951
Address: Lackey, Ky.
Signature: Martha A. Loving, M.D.
Burial, Cremation or Removal: Burial
Date: 30 August 1951
Name of Cemetery or Crematory: Family Cemetery
Location: Brinkley, Ky.
Date received by local registrar: 10 September 1951
Registrar's Signature: Rose B. Craft
Funeral director & address: Charles S. Hornsby, Hindman,
Ky.
Transcribed by Debbie Tamborski, 17 January 2011 |