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DEATH
CERTIFICATE
WALLACE E. AMBURGEY
Date 18 July 1948
Cert: 14776
Place of Death: County: Jefferson City or
Town: Rural
Name of Hospital or Institution: Nichols Veterans
Administration Hospital
Length of stay in hospital or community: 02 days
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Hindman
Full Name: Wallace E. AMBURGEY
If Veteran Name War: World War II
Social Security No.: unk
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 07 January 1925
Age: 23 years, 06 months, 12 days
Birthplace: Hindman, Kentucky
Occupation: Bullard Operator
Industry or business: Tempkin Bearing
Father Name: Marcus AMBURGEY
Father Birthplace: Hindman, Kentucky
Mother Maiden Name: Cassie CAMPBELL
Mother Birthplace: Hindman, Kentucky
Informant: Hospital Records, VA Hospital, Louisville 2,
Ky.
Burial Place: Hazard, Kentucky
Date: 19 July 1948
Signature of funeral director: H. Bosse & Son, 600 E. Bdwy.
St.,
Date received by local registrar: 23 July 1948
Registrar's Signature: (illegible)
Date of Death: 18 July 1948
I hereby certify that I attended deceased from 16 July 1948 to
18 July 1948, that I
last saw him alive on 18 July 1948, and that death occurred on the date
stated above at 7:12 p.m.
Immediate cause of death: Traumatic Transverse Myelitis,
Thoracic Two.
Due to: Gunshot wound
Major findings of autopsy: same as above
Accident, suicide, or homicide: Homicide
Date of occurrence: 15 July 1948
Where did injury occur: near Hazard, Ky.
While at work: (blank)
Means of injury: Shot in back
Signature: Dr. Paul S. Osborne, Coroner, Fiscal Court
Bldg., Louisville, Ky.
Date signed: (blank)
Transcribed by Debbie Tamborski, 14 February 2010 |
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