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DEATH
CERTIFICATE
NANCY AMBURGEY
Date: 31 March 1945
Cert: 08617
Place of Death: County: Letcher City or Town:
Farraday
Street No. or Location: (blank)
Length of stay in hospital or community: 02 weeks
Usual Residence of Deceased: State: Ky. County:
Letcher
City or Town: Farraday
Full Name: Nancy AMBURGEY
If Veteran Name War: No
Social Security No.: No
Sex, Color or Race, Marital Status: Female, White,
Widowed
Husband or Wife of: Jesse AMBURGEY
Age of husband or wife if alive: Deceased
Birth date of deceased: Unknown
Age: 86 years, ? months, ? days [sic[
Birthplace: Knot Co., Ky.
Occupation: Housewife
Industry or business: (blank)
Father Name: Son SLONE
Father Birthplace: Ky.
Mother Maiden Name: Polly HICKS
Mother Birthplace: Ky.
Informant: Kernal SEXTON, Farraday, Ky.
Burial Place: Thornton, Ky.
Date: 02 April 1945
Signature of funeral director: Archie Craft, Whitesburg, Ky.
Date received by local registrar: 02 May 1945
Registrar's Signature: E. M. Collins
Date of Death: 31 March 1945
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at 6:30 a.m.
Immediate cause of death:
Interstitial nephritis
Endocarditis
Duration: 05 years 02 years
Due to: Chronic nephritis
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: Owen Pigman, M.D., Whitesburg,
Ky.
Date signed: 01 May 1945
Transcribed by Debbie Tamborski, 05 June 2010 |
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