Date:  05 April 1954
Cert:  26619 
Place of Death: County: Knott      City or Town: Bath - Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution:  (blank)
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town:  Bath - Rural     If rural give location: (blank)
Full Name:  Ambrose AMBURGEY 
Date of Death:  05 April 1954 
Sex, Color or Race, Marital Status: Male, White, Widowed
Date of Birth:  ? (transcribed as written) 
Age:  79 years
Usual Occupation:  Farmer
Kind of Industry or business: (blank)
Birthplace:  Knott Co., Ky. 
Father's Name:  Lily AMBURGER 
Mother's Maiden Name:  (blank) 
Was deceased ever in armed forces: (blank)
Social Security No.:  (blank)
Informant:  Carl BANKS
Disease or condition directly leading to death: Disease of the heart and Disease of the Kidneys
Interval between onset and death:  (blank)
Due to:  (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
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 12 December 1953 to 05 April 1954, that I last saw the deceased alive on 03 April 1954, and that death occurred at 4 p.m., from the causes and on the date stated above.
Date signed:  (blank)
Address:  Hindman, Ky.
Signature:  M. F. Kelley, M.D.
Burial, Cremation or Removal: Burial
Date:  06 April 1954
Name of Cemetery or Crematory: Charlie Logan Cem.
Location:  Bath, Ky.
Date received by local registrar:  24 June 1955
Registrar's Signature: Myrtle Slone
Funeral director & address:  John Everage, Hindman, Ky.
Transcribed by Debbie Tamborski, 24 February 2011