Date: 10 February 1947
Cert: 09217
Place of Death: County: Knott City or
Town: Knott
Street Number or Location: Vest (Rural)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Vest Rural
Full Name: Ambrose STEWART
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White,
Widowed
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 16 March 1857
Age: 89 years, 10 months, 24 days
Birthplace: Perry County
Occupation: None - Invalid for years
Industry or business: (blank)
Father Name: Dr. Jasper STEWART
Father Birthplace: Knox County
Mother Maiden Name: Nancy MULLINS
Mother Birthplace: Perry County
Informant: Mavis NOBLE, Vest, Ky.
Burial Place: Vest, Ky.
Date: 11 February 1947
Signature of funeral director: None
Date received by local registrar: 28 March 1947
Registrar's Signature: Rose B. Craft
Date of Death: 10 February 1947
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at 6:15 a.m.
Immediate cause of death: Cancer of the face
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: J. W. Duke, M.D., Hindman, Ky.
Date signed: 30 April 1947
Transcribed by Debbie Tamborski, 21 December 2010 |