Date:    01 November 1948
Cert:    23456 
Place of Death: County: Knott   City or Town:  Hindman
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:  Hindman 
Full Name:  Thomas Francis AMBURGEY 
If Veteran Name War: II
Social Security No.:  (blank)
Sex, Color or Race, Marital Status:  Male, White, Single
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:  01 January 1893 
Age:  55 years, 10 months
Birthplace:  Knott Co. 
Occupation:  Carpenter 
Industry or business:  (blank)
Father Name:  G. W. AMBURGEY 
Father Birthplace:  Ky. 
Mother Maiden Name:  Mary SMITH    
Mother Birthplace:   Ky. 
Informant:  G. C. AMBURGEY, Hindman, Ky. 
Burial Place:   Hindman, Ky. 
Date:  02 November 1948 
Signature of funeral director:  Joe Greer, Hazard, Ky.
Date received by local registrar:  30 November 1948 
Registrar's Signature:  Helen Burriss
Date of Death:  01 November 1948 
I hereby certify that I attended deceased from 20 October 1948 to 01 November 1948, that I last saw him alive on 01 November 1948, and that death occurred on the date stated above at 2 a.m.
Immediate cause of death:  uremic poisoning 
Duration: (blank)
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:  M. F. Kelley, M.D., Hindman, Ky.
Date signed:  01 November 1948 
Transcribed by Debbie Tamborski, 22 December 2010