DEATH CERTIFICATE

KIRBY KELLY

Date:    30 May 1947
Cert:    16056 
Place of Death: County: Knott     City or Town: Ambergy, Ky.  Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky   County: Knott
City or Town:  Ambergy, Ky.     Rural 
Full Name:  Kirby KELLY 
If Veteran Name War: (blank)
Social Security No.:  (blank)
Sex, Color or Race, Marital Status: Male, White, Child  
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:  24 March 1947 
Age:  02 months, 06 days
Birthplace:  Knott Co., Ky. 
Occupation:  (blank) 
Industry or business:  (blank)
Father Name:  Benett KELLY 
Father Birthplace:  Knott Co.
Mother Maiden Name:   Eliza HALL 
Mother Birthplace:   Knott Co. 
Informant:   Bennett KELLY, Amburgey 
Burial Place:   Ambergy 
Date:  30 May 1947 
Signature of funeral director:  Maggard & Blair F. H., (illegible), Hazard, Ky.
Date received by local registrar:   30 July 1947
Registrar's Signature:  Rose B. Craft
Date of Death:  30 May 1947 
I hereby certify that I attended deceased from 29 May 1947 to 30 May 1947, that I last saw him alive on 29 May 1947, and that death occurred on the date stated above at 5 a.m.
Immediate cause of death:  Intestinal obstruction 
Duration: (blank)
Due to:  (blank)
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:  A. B. Pigman, M.D., Allock
Date signed:  27 June 1947 
Transcribed by Debbie Tamborski, 18 December 2010