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DEATH
CERTIFICATE
WILLIAM AMBURGEY
Date: 05 March 1952
Cert: 05757
Place of Death: County: Letcher City or Town:
Whitesburg
Length of stay (in this place): (blank)
Street address or location: rural - Home
Usual Residence of Deceased: State: Ky. County:
Letcher
City or Town: Whitesburg Street
Address: Rural
Full Name: William AMBURGEY
Date of Death: 05 March 1952
Sex, Color or Race, Marital Status: Male, White, Divorced
Date of Birth: 02 February 1885
Age: 67 years, 01 months, 03 days
Usual Occupation: Miner
Kind of Industry or business: mining
Birthplace: Knott Co., Ky.
Father's Name: Ambros AMBURGEY
Mother's Maiden Name: Hannah MARTIN
Was deceased ever in armed forces: (blank)
Social Security No.: 403-01-6494
Informant: Dempsey AMBURGEY - Son
Disease or condition directly leading to death: Organic
Heart Disease
Interval between onset and death: years
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: Organic Heart Disease
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 (blank) to
(blank), that I last saw the deceased alive on (blank), and
that death occurred at 4:00 a.m., from the causes and on the
date stated above.
Date signed: 06 March 1952
Address: Whitesburg, Ky.
Signature: T. R. Collier, M.D.
Burial, Cremation or Removal: Burial
Date: 07 March 1952
Name of Cemetery or Crematory: Frazier Cemetery
Location: Premium, Ky.
Date received by local registrar: 10 March 1952
Registrar's Signature: G. W. Collins
Funeral director & address: Archie Craft, Whitesburg
Transcribed by Debbie Tamborski, 31 July 2010 |
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