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DEATH
CERTIFICATE
NORMA AMBURGY BURGESS RATLIFF
Date: 30 June 1952
Cert: 15721
Place of Death: County: Pike City or Town:
Rural (Blairtown)
Length of stay (in this place): 05 years
Street Address or Location: At home (Pikeville Rt. #1)
Usual Residence of Deceased: State: Kentucky County:
Pike
City or Town: Rural (P. O. Pikeville Rt. #1)
Street Address: Blairtown
Full Name: Norma Amburgy Burgess RATLIFF
Date of Death: 30 June 1952
Sex, Color or Race, Marital Status: Female, White, Married
Date of Birth: 07 February 1894
Age: 58 years, 04 months, 23 days
Usual Occupation: Homemaker
Kind of Industry or business: Domestic
Birthplace: Knott County, Ky.
Father's Name: Charlie AMBURGY
Mother's Maiden Name: Sis CLARK
Was deceased ever in armed forces: no
Social Security No.: (blank)
Informant: Mary R. RATLIFF
Disease or condition directly leading to death: Congestive
Heart Failure
Interval between onset and death: 11 years
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 (blank) to
30 June 1952, that I last saw the deceased alive on (blank), and
that death occurred at 2:20 p.m., from the causes and on the
date stated above.
Date signed: 30 June 1952
Address: Pikeville, Ky.
Signature: T. H. Hodgs
Burial, Cremation or Removal: Burial
Date: 03 July 1952
Name of Cemetery or Crematory: Ratliff Cemetery
Location: Cowpen Creek, Pike Co., Ky.
Date received by local registrar: 07 July 1952
Registrar's Signature: Helen A. Young
Funeral director & address: Sally Baker, Pikeville,
Ky., For: Baker Funeral Home
Transcribed by Debbie Tamborski, 12 August 2010 |
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