Date 13 July 1949
Cert: 13720
Place of Death: County: Floyd     City or Town: Melvin
Length of stay (in this place): 06 years
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky.      County: Floyd
City or Town: Bypro-Melvin     Street Address: (blank)
Full Name: John Paul AMBURGEY, Sr.
Date of Death: 13 July 1949
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 25 December 1890
Age: 59 years, 06 months, 18 days
Usual Occupation: Painter
Kind of Industry or business: (blank)
Birthplace: Hindman, Ky.
Father's Name: John AMBURGEY
Mother's Maiden Name: Nancy MARTIN
Was deceased ever in armed forces: No
Social Security No.: (blank)
Informant: John Paul Amburgey, Jr.
Disease or condition directly leading to death: Gun Shot
Interval between onset and death: (blank)
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
Accident, suicide, or homicide: Homicide
Place of injury: Home
City or Town, County, State: Melvin, Floyd Co., Ky.
Time of Injury: 13 July 1949 10:50 p.m.
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from (blank) to (blank), that I last saw the deceased alive on (blank), and that death occurred at 10:50, from the causes and on the date stated above.
Date signed: 18 July 1949
Address: Bypro, Ky.
Signature: W. D. Osborne, M.D.
Burial, Cremation or Removal: Burial
Date: 17 July 1949
Name of Cemetery or Crematory: T. C. Campbell
Location: Mousie, Ky.
Date received by local registrar: 19 July 1949
Registrar's Signature: Lucy Ransdell
Funeral director & address: Omar Paul Greene, 2723, Bypro, Ky.
Transcribed by Debbie Tamborski, 02 July 2010