Date 15 January 1921
Cert: 03822
Place of Death: Voting Precinct: Jenkins, Letcher Co., Ky.
Full Name: Alfred AMBURGEY
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 21 November 1855
Age: 65 years, 01 months, 24 days
Occupation: Timber contractor
Birthplace: Knott Co., Ky.
Name of Father: Wm.
Birthplace Father: Lethcer Co., Ky.
Maiden name of Mother: Viney SPARKMAN
Birthplace Mother: Knott Co., Ky.
Informant/Address: Elisabeth AMBURGEY, Jenkins, Ky.
Filed: 15 January 1921
Registrar: M. G. Abbott
Death Date: 15 January 1921
I hereby certify that I attended deceased from 04 January 1920, to 15 January 1921, that I last saw him alive on 15 January 1921, and that death occurred, on the date stated above, at 6:00
Cause of Death: arterio sclerosis
Duration: (blank)
Contributory: rheumatism
Signed/Address: (illegible)
Length of residence where disease contracted: (blank)
Former or usual residence: (blank)
Place of Burial or Removal: Pinetop, Ky.
Date of Burial: (blank)
Undertaker/Address: Geo. W. McCoy, Jenkins
Transcribed by Debbie Tamborski, 07 March 2010