Date:   15 April 1942
Cert:   11889 
Place of Death: County: Knott     City or Town: Smithsboro
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town:  Smithsboro
Full Name:  John Jesse AMBURGEY
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of:  Marolyn MULLINS
Age of husband or wife if alive:  61 years
Birth date of deceased:  09 February 1859
Age: 81 years, 02 months, 06 days
Birthplace:  Knott Co., Ky.
Occupation:  farming
Industry or business: (blank)
Father Name:  Bill AMBURGEY
Father Birthplace:  Knott Co., Ky.
Mother Maiden Name:  Polly Ann CALF
Mother Birthplace:  Unknown
Informant:  Hiram AMBURGEY, Amburgey, Ky.
Burial Place:  Smithsboro
Date:  16 April 1942
Signature of funeral director: family
Date received by local registrar:  26 May 1942
Registrar's Signature:  Ida Livingston
Date of Death:  15 April 1942
I hereby certify that I attended deceased from 01 March 1942 to 15 April 1942, that I last saw h-- alive on 15 April 1942, and that death occurred on the date stated above at 8 p.m.
Immediate cause of death:  Carcinoma of gall bladder
Duration: 03 months
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: A. B. Pigman, M.D., Allock
Date signed:  (blank)
Transcribed by Debbie Tamborski, 15 October 2010