Date:    01 January 1946
Cert:    06989 
Place of Death: County: Knott City or Town: Brinkley, Ky. 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:  Brinkley     Rural 
Full Name:  Jasper AMBURGY 
If Veteran Name War: (blank)
Social Security No.:  (blank)
Sex, Color or Race, Marital Status: Male, White, Married 
Husband or Wife of:  Nancy AMBURGY
Age of husband or wife if alive: 72 years
Birth date of deceased:  15 April 1871 
Age:  74 years, 08 months, 16 days
Birthplace:   Knott Co., Ky. 
Occupation:  Farmer 
Industry or business:  (blank)
Father Name:   Ambrose AMBURGY
Father Birthplace:  Knott Co., Ky. 
Mother Maiden Name:   STACY 
Mother Birthplace:   Knott Co., Ky. 
Informant:  Manford AMBURGEY, Kona, Ky. 
Burial Place:   Brinkley 
Date: 03 January 1946 
Signature of funeral director:  Maggard, Hazard, Ky.
Date received by local registrar: 11 March 1946 
Registrar's Signature: Mrs. Rose B. Craft
Date of Death:  01 January 1946 
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 7 p.m.
Immediate cause of death:  Heart Block 
Duration: (blank)
Due to:  Arteriosclerotic condition of heart & blood vessels
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:  J. R. Aker, M.D., Anco, Ky.
Date signed:  05 January 1946 
Transcribed by Debbie Tamborski, 03 December 2010