Date: 19 May 1953
Cert: 17000
Place of Death: County: Knott
City or Town: Kite
Length of stay (in this place): 10 years
Name of Hospital or Institution: None
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Kite Street
Address: none
Full Name: Wilprest Taulbee AMBURGEY
Date of Death: 19 May 1953
Sex, Color or Race, Marital Status: Male, White, Widowed
Date of Birth: 05 March 1887
Age: 66 years, 02 months, 14 days
Usual Occupation: Miner
Kind of Industry or business: Coal Industry
Birthplace: Kentucky
Father's Name: John D. AMBURGEY
Mother's Maiden Name: Arminda HARRIS
Was deceased ever in armed forces: No
Social Security No.: 405-01-9691
Informant: Mr. Lawrence AMBURGEY - Son
Disease or condition directly leading to death: Massive
Coronary Thrombosis
Interval between onset and death: 01 hour
Due to: Arteriosclerosis
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 October 1952 to
May 1953, that I last saw the deceased alive on 19 May 1953, and
that death occurred at 12:30 p.m., from the causes and on the
date stated above.
Date signed: 25 May 1953
Address: Wheelwright, Ky.
Signature: Russell L. Hall, M.D.
Burial, Cremation or Removal: Burial
Date: 21 May 1953
Name of Cemetery or Crematory: Rene Hall Cemetery
Location: Topmost, Ky.
Date received by local registrar: 26 May 1953
Registrar's Signature: Rose B. Craft
Funeral director/address: Omar Paul Greene, Wheelwright, Ky.
Transcribed by Debbie Tamborski, 05 February 2011 |