Date:  05 January 1949
Cert:  01228 
Place of Death: County: Knott      City or Town: Rural
Length of stay (in this place): 06 years
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town:  (blank)    Street Address: (blank)
Full Name:  Gorman W. AMBURGEY
Date of Death:  05 January 1949
Sex, Color or Race, Marital Status: Male, White, Never Married
Date of Birth:  13 November 1903
Age:  45 years
Usual Occupation:  Farmer
Kind of Industry or business: (blank)
Birthplace:  Ivan, Ky.
Father's Name:  W. J. AMBURGEY
Mother's Maiden Name:  Nancy HONEYCUTT
Was deceased ever in armed forces: No
Social Security No.:  407-38-7702
Informant:  (blank)
Disease condition directly leading to death: Acute Heart failure
Interval between onset and death:  02 days
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: Litt Carr, Knott, Ky.
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: No
I hereby certify that I attended deceased from 03 January 1949 to 05 January 1949, that I last saw the deceased alive on 04 January 1949, and that death occurred at 6:30 p.m., from the causes and on the date stated above.
Date signed:  07 January 1949
Address:  Allock, Ky.
Signature:  A. B. Pigman, M.D.
Burial, Cremation or Removal:  Burial
Date:  07 January 1949
Name of Cemetery or Crematory:  Amburgey
Location:  Litt Carr, Ky.
Date received by local registrar: 10 January 1949
Registrar's Signature:  Rose B. Craft
Funeral director & address:  Family, Litt Carr
Transcribed by Debbie Tamborski, 02 January 2011