DEATH CERTIFICATE

JOHNNY AMBURGEY

Date:  25 March 1950
Cert:  14714 
Place of Death: County: Knott  City or Town: Lackey, Ky.  Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: Stumbo Memorial Hosp.
Usual Residence of Deceased: State: Kentucky   County: Knott
City or Town: Leburn Rural     If rural give precinct:  Left Fork Troublesome Creek
Full Name:  Johnny AMBURGEY
Date of Death:  25 March 1950
Sex, Color or Race, Marital Status: Male, White, Widowed
Date of Birth:  1874
Age: 75 years
Usual Occupation:  Farming
Kind of Industry or business: Home Farm
Birthplace:  Knott Co., Ky.
Father's Name:  Unknown
Mother's Maiden Name:  Sally AMBURGEY
Was deceased ever in armed forces: No
Social Security No.: None
Informant:  Jim THACKER
Disease or condition directly leading to death:  Pneumonia
Interval between onset and death:  (blank)
Due to:  Influenza
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 15 March 1950 to 25 March 1950, that I last saw the deceased alive on 25 March 1950, and that death occurred at 5:50 p.m., from the causes and on the date stated above.
Date signed:  (blank)
Address:  Lackey, Ky.
Signature:  C. M. Aker, M.D.
Burial, Cremation or Removal:  Buried
Date:  26 March 1950
Name of Cemetery or Crematory:  Family Cemetery
Location:  Leburn, Knott, Ky.
Date received by local registrar: 28 July 1950
Registrar's Signature:  Rose B. Craft
Funeral director & address:  (blank)
Transcribed by Debbie Tamborski, 10 January 2011