Date 05 February 1938
Cert: 07316
Place of Death: Voting Pct.: Seco, Letcher Co., Ky.
Full Name: Green AMBURGEY
Residence: Seco, Ky.
Length of Residence: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Mrs. Polly Ann EVERIDGE
Date of Birth: About 1862
Age: About 76 years
Occupation: Retired Business Man (Merchant)
Birthplace: Knott Co., Ky.
Father Name: John AMBURGEY (not learned crossed out)
Birthplace Father: Ky.
Mother Maiden Name: Rachel HALL (not learned crossed out)
Birthplace Mother: Ky.
Informant/Address: Polly Ann AMBURGEY (wife), Seco, Ky.
Burial Cremation Removal Place: Bath, Ky. (Knott Co.)
Date: 07 February 1938
Undertaker/Address: Family & Friends, Seco, Ky. (Whitaker Camp)
Filed: 05 April 1938
Registrar: Nerva B. Howard
Death of Date: 05 February 1938
I hereby certify, That I attended deceased from (blank) to (blank), that I last saw h-- alive on (blank), death is said to have occurred on the date stated above, at (illegible) p.m.
Cause of Death: Chronic Myocarditis & Chronic Nephritis
Date of onset: years
Contributory causes: Senescence
Name of operation: none
Accident, suicide, homicide: (blank)
Date of Injury: (blank)
Where did injury occur: (blank)
Specify whether injury occurred industry, home, public place:
Manner of injury: None
Nature of injury: (blank)
Related to occupation: no
Signed/Address: R. D. Collins, M.D., Whitesburg, Ky.
Transcribed by Debbie Tamborski, 22 April 2010