|
DEATH
CERTIFICATE
VIRGIE AMBURGY HALL
Date 28 October 1951
Cert: 20927
Place of Death: County: Letcher City or Town:
Fleming
Length of stay (in this place): 01
Name of Hospital or Institution: Fleming Hosp.
Usual Residence of Deceased: State: Ky. County:
Letcher
City or Town: House #82 Street
Address: Burdine, Ky.
Full Name: Virgie Amburgy HALL
Date of Death: 28 October 1951
Sex, Color or Race, Marital Status: Female, White, Married
Date of Birth: 24 January 1890
Age: 61 years, 09 months, 04 days
Usual Occupation: Housewife
Kind of Industry or business: (blank)
Birthplace: Knott Co., Ky.
Father's Name: Jim AMBURGY
Mother's Maiden Name: Racheal SEXTON
Was deceased ever in armed forces: no
Social Security No.: (blank)
Informant: Harman HALL
Disease or condition directly leading to death: Toxemia
Interval between onset and death: (blank)
Due to: Dysentery
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 18 October 1951 to
28 October 1951, that I last saw the deceased alive on 28
October 1951, and
that death occurred at 10:00 a.m., from the causes and on the
date stated above.
Date signed: 30 October 1951
Address: Fleming, Ky.
Signature: E. G. Skaggs, M.D.
Burial, Cremation or Removal: Burial
Date: 30 October 1951
Name of Cemetery or Crematory: Hall Cemetery
Location: Burdine, Ky.
Date received by local registrar: 31 October 1951
Registrar's Signature: G. W. Collins
Funeral director & address: Craft Funeral Home,
Neon, Ky.
Transcribed by Debbie Tamborski, 23 July 2010 |
|