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DEATH
CERTIFICATE
LUZONA AMBURGEY
Date 15 November 1953
Cert: 22277
Place of Death: County: Fayette City or Town:
Lexington
Length of stay in hospital or community: 12 days
Name of Hospital or Institution: Good Samaritan Hospital
Usual Residence of Deceased: State: Ky. County: Knott
City or Town: May
Full Name: Luzona AMBURGEY
Date of Death: 15 November 1953
Sex, Color or Race, Marital Status: Female, White,
Married
Date of Birth: 23 January 1904
Age: 48 years
Usual Occupation: House keeper
Kind of Industry or business: (blank)
Birthplace: Knott County, Ky.
Father's Name: Thomas MULLEN
Mother's Maiden Name: Wyona HONEYCUTT
Was deceased ever in armed forces: No
Social Security No.: (blank)
Informant: C. F. AMBURGEY (Husband)
Disease or condition directly leading to death:
Adenocarcinoma of kidney
Interval between onset and death: unknown
Due to: (blank)
Other significant conditions: Post operative shock
Date of Operation: (blank)
Major findings of operation: Extensive Adenocarcinoma of
kidney
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 06 November
1953 to 15 November 1953, that I
last saw the deceased alive on 14 November 1953, and that death occurred on
the date stated above at 1:30 a.m., from the causes and on the date
stated above.
Date signed: 17 November 1953
Address: 115 E. Maxwell, Lexington, Ky.
Signature: R. M. Slabaugh
Burial, Cremation or Removal: Burial
Date: 18 November 1953
Name of Cemetery or Creamatory: Amburgey Cemetery
Location: Knott County, Ky.
Date received by local registrar: 17 November 1953
Registrar's Signature: D. A. Furlong
Funeral director/address: Hindman Funeral Home, Hindman, Ky.
Transcribed by Debbie Tamborski, 20 February 2010 |
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