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