Date:   04 June 1944
Cert:   14385 
Place of Death: County: Knott   City or Town: Sassafras   Rural
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:  Sassafras     Rural
Full Name:  Earnest AMBURGY
If Veteran Name War: (blank)
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:  28 August 1930
Age: 13 years, 09 months, 06 days
Birthplace:  Ky.
Occupation:  School student
Industry or business: (blank)
Father Name:  Harlan AMBURGY
Father Birthplace:  Knott Co., Ky.
Mother Maiden Name:  Rose HALL
Mother Birthplace:  Floyd Co., Ky.
Informant:  Harlan AMBURGY, Sassafras, Ky.
Burial Place:  Lett Cem.
Date:  06 June 1944
Signature of funeral director: Engles, Hazard, Ky.
Date received by local registrar:  15 June 1944
Registrar's Signature:  Ida Livingston
Date of Death:  04 June 1944
I hereby certify that I attended deceased from (blank) to (blank), that I last saw him alive on (blank), and that death occurred on the date stated above at (blank)
Immediate cause of death:  Broken neck & drowned
Duration: (blank)
Due to: (blank)
Major findings of operations: Broken neck & drowned  
Major findings of autopsy: Broken neck 
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: J. R. Aker, M.D., Anco, Ky.
Date signed:  08 June 1944
Transcribed by Debbie Tamborski, 07 November 2010