Date:  01 October 1949
Cert:  21237 
Place of Death: County: Knott     City or Town: Hindman, Ky. Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town:  Hindman  Rural   If rural give precinct:  Combs Branch
Full Name:  Kennith Ray AMBURGEY
Date of Death:  01 October 1949
Sex, Color or Race, Marital Status: Male, White, Never Married
Date of Birth:  02 May 1949
Age:  04 months
Usual Occupation:  None
Kind of Industry or business: None
Birthplace:  Hindman, Ky. (Rural)
Father's Name:  Willis AMBURGEY
Mother's Maiden Name:  Dovie MOSLEY
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  Willis AMBURGEY
Disease or condition directly leading to death:  Pneumonia
Interval between onset and death:  (blank)
Due to:  Severe Cold
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 20 September 1949 to 01 October 1949, that I last saw the deceased alive on 23 September 1949, and that death occurred at 4 p.m., from the causes and on the date stated above.
Date signed:  06 October 1949
Address:  Hindman, Ky.
Signature:  M. F. Kelley, M.D.
Burial, Cremation or Removal:  Burial
Date:  (blank)
Name of Cemetery or Crematory:  Amburgey Cemetery
Location:  Knott Co., Ky.
Date received by local registrar:  15 October 1949
Registrar's Signature:  Rose B. Craft
Funeral director & address:  Friends, Hindman
Transcribed by Debbie Tamborski, 02 January 2011