DEATH
CERTIFICATE
JOHN D. AMBURGEY
Date: 05 October 1944 Cert: 23106 Place of Death: County: Letcher City or Town: Fleming Hospital or Institution: Fleming Hospital Length of stay in hospital or community: 11 days Usual Residence of Deceased: State: Kentucky County: Letcher City or Town: Whitesburg Street No.: Main and Railroad Full Name: John D. AMBURGEY If Veteran Name War: Yes, Spanish America Social Security No.: None Sex, Color or Race, Marital Status: Male, White, Divorced Husband or Wife of: x Age of husband or wife if alive: x Birth date of deceased: 17 June 1861 Age: 83 years Birthplace: Knott Co., Kentucky Occupation: Soldier Retired Industry or business: U.S. Army Father Name: Jess AMBURGEY Father Birthplace: No Record Mother Maiden Name: No Record Mother Birthplace: No Record Informant: Cassie AMBURGEY, Whitesburg, Ky. Burial Place: Knott Co., Ky. Date: 07 October 1944 Signature of funeral director: Evans Funeral Home, Whitesburg, Kentucky Date received by local registrar: 09 October 1944 Registrar's Signature: E. M. Collins Date of Death: 05 October 1944 I hereby certify that I attended deceased from 24 September 1944 to 05 October 1944, that I last saw him alive on 04 October 1944, and that death occurred on the date stated above at 5 a.m. Immediate cause of death: Myocardial failure Duration: (blank) Due to: Senility and Traumatized tissue due to being hit by a truck 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: E. G. Skaggs, M.D., Fleming, Ky. Date signed: 07 October 1944 Transcribed by Debbie Tamborski, 02 June 2010 |