DEATH CERTIFICATE

AMBROUS AMBURGEY

Date  03 January 1922
Cert: #  1755
Name:  Ambrous AMBURGEY
Place of Death: Voting Pct. Pinetop, Knott Co., KY
Male, White, Married
Birth Date:  (blank)
Age: (blank)
Occupation:  Farmer
Place of Birth:  Kentucky
Name of Father:  Umphary AMBURGEY
Birthplace Father:  Kentucky
Maiden Name of Mother:  Nancy MULLINS
Birthplace Mother:  Kentucky
Informant:  (blank)
Death Date:  03 January 1922
Cause of Death:  Malignant sarcoma of the stomach
Signed:  M. F. Kelley, M.D.
Burial Place:  Amburgey Cemetery
Date of Burial:  04 January 1922
Undertaker:  Ambrous Amburgey, Jr., Pinetop, Ky. 
File Date:  10 January 1922
Transcribed by Debbie Tamborski, 06 December 2008