Date: 03 April 1950
Cert: 10349
Place of Death: County: Knott
City or Town: Amburgey
Length of stay (in this place): (blank)
Name of Hospital or Institution: None
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Amburgey Street Address:
(blank)
Full Name: William M. MILLER
Date of Death: 03 April 1950
Sex, Color or Race, Marital Status: Male, White, Widowed
Date of Birth: 29 April
Age: 65 years
Usual Occupation: Miner
Kind of Industry or business: Retired
Birthplace: Tennessee
Father's Name: Issaac MILLER
Mother's Maiden Name: ? BRIDGES (transcribed as written)
Was deceased ever in armed forces: No
Social Security No.: (blank)
Informant: Maynard H. MILLER
Disease or condition directly leading to death: Congestive
Heart Disease
Interval between onset and death: 04 months
Due to: (blank)
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 01 February
1950 to
03 April 1950, that I last saw the deceased alive on 01 April
1950, and
that death occurred at 7 p.m., from the causes and on the
date stated above.
Date signed: 13 April 1950
Address: Allock
Signature: A. B. Pigman, M.D.
Burial, Cremation or Removal: Burial
Date: 05 April 1950
Name of Cemetery or Crematory: Stamper Cemetery
Location: Littcarr, Ky.
Date received by local registrar: 16 April 1950
Registrar's Signature: Rose B. Craft
Funeral director & address: Maggard and Garret,
Hazard, Ky.
Transcribed by Debbie Tamborski, 15 January 2011 |