DEATH CERTIFICATE

 DENVER AMBURGEY

Date:   26 December 1941
Cert:   29452 
Place of Death: County: Knott     City or Town:  Hindman
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town:  Hindman
Full Name:  Denver AMBURGEY
If Veteran Name War: 1st World War
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of:  Madge D. AMBURGEY
Age of husband or wife if alive:  35 years
Birth date of deceased:  26 September 1899
Age: 42 years, 03 months
Birthplace:  Hindman, Knott Co., Ky.
Occupation:  (?Plasturer?)
Industry or business: (blank)
Father Name:  Robert H. AMBURGEY
Father Birthplace:  Hindman, Knott Co.
Mother Maiden Name:  Lucinda ADAMS 
Mother Birthplace:  Knott Co.
Informant:  Mrs. Denver AMBURGEY, Hindman, Ky.
Burial Place:  Hindman, Ky.
Date:  27 December 1941
Signature of funeral director:  Engle Fun., Hazard, Ky.
Date received by local registrar:  02 January 1942
Registrar's Signature:  Ida Livingston
Date of Death:  26 December 1941 
I hereby certify that I attended deceased from 19 December 1941 to 26 December 1941, that I last saw him alive on 26 December 1941, and that death occurred on the date stated above at 8 a.m.
Immediate cause of death: Hypertension
Duration: (blank)
Due to: Ulcer of stomach
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
Date signed:  02 January 1942
Transcribed by Debbie Tamborski, 08 October 2010