Date: 25 March 1950
Cert: 14714
Place of Death: County: Knott
City or Town: Lackey, Ky. Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: Stumbo Memorial Hosp.
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Leburn Rural If
rural give precinct: Left Fork Troublesome Creek
Full Name: Johnny AMBURGEY
Date of Death: 25 March 1950
Sex, Color or Race, Marital Status: Male, White, Widowed
Date of Birth: 1874
Age: 75 years
Usual Occupation: Farming
Kind of Industry or business: Home Farm
Birthplace: Knott Co., Ky.
Father's Name: Unknown
Mother's Maiden Name: Sally AMBURGEY
Was deceased ever in armed forces: No
Social Security No.: None
Informant: Jim THACKER
Disease or condition directly leading to death:
Pneumonia
Interval between onset and death: (blank)
Due to: Influenza
Other significant conditions: (blank)
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 15 March 1950 to
25 March 1950, that I last saw the deceased alive on 25 March
1950, and
that death occurred at 5:50 p.m., from the causes and on the
date stated above.
Date signed: (blank)
Address: Lackey, Ky.
Signature: C. M. Aker, M.D.
Burial, Cremation or Removal: Buried
Date: 26 March 1950
Name of Cemetery or Crematory: Family Cemetery
Location: Leburn, Knott, Ky.
Date received by local registrar: 28 July 1950
Registrar's Signature: Rose B. Craft
Funeral director & address: (blank)
Transcribed by Debbie Tamborski, 10 January 2011 |