DEATH CERTIFICATE

AMBROSE B. SMITH

Date:  04 September 1952
Cert:  21722 
Place of Death: County: Knott      City or Town: Littcarr
Length of stay (in this place): All of life
Street address or location:  Littcarr, Ky.
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town: Rural    If rural give precinct:  Littcarr, Ky.
Full Name:  Ambrose B. SMITH
Date of Death:  04 September 1952
Sex, Color or Race, Marital Status:  Male, White, Married
Date of Birth:  25 January 1885
Age:  67 years
Usual Occupation:  Miner
Kind of Industry or business: Coal Mining
Birthplace:  Knott Co., Ky.
Father's Name:  Ambrose SMITH
Mother's Maiden Name:  Rebecca SMITH
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  Mrs. Ambrose B. SMITH
Disease or condition directly leading to death:  Pulmonary Tuberculosis
Interval between onset and death:  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 (blank), that I last saw the deceased alive on (blank), and that death occurred at (blank), from the causes and on the date stated above.
Date signed:  08 September 1952
Address:  Hindman, Ky.
Signature:  J. W. Duke, M.D.
Burial, Cremation or Removal:  Burial
Date:  07 September 1952
Name of Cemetery or Crematory:  Family Cemetery
Location:  Littcarr, Ky.
Date received by local registrar: 15 September 1952
Registrar's Signature:  Rose B. Craft
Funeral director & address:  John N. Taul, Hindman, Ky.
Transcribed by Debbie Tamborski, 28 January 2011