Date: 04 April 1946
Cert: 09504
Place of Death: County: Letcher City or Town: Jackhorn, Ky.
Street No. or Location: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County: Letcher
City or Town: Cowan
Full Name: Elijah AMBURGEY
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: 01 December 1879
Age: 66 years, 04 months, 03 days
Birthplace: Knott County, Ky.
Occupation: Merchant (Retired)
Industry or business: (blank)
Father Name: John AMBURGEY
Father Birthplace: Ky.
Mother Maiden Name: Jenny AMBURGEY
Mother Birthplace: Knott Co., Ky.
Informant: Mrs. Roma ADDINGTON, Cowan, Ky.
Burial Place: Blair Cemetery on Cowan
Date: 06 April 1946
Signature of funeral director: Archie Craft, Whitesburg, Ky.
Date received by local registrar: 08 April 1946
Registrar's Signature: E. M. Collins
Date of Death: 04 April 1946
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 4:40 a.m.
Immediate cause of death: Ch. Myocarditis
Duration: years
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: R. D. Collins, M.D., Whitesburg, Ky.
Date signed: 08 April 1946
Transcribed by Debbie Tamborski, 06 June 2010