Date 06 August 1921
Cert: # 17878
Name: Ambrous A. AMBURGEY
Place of Death: Voting Pct. #2 Pinetop, Knott Co., KY
Male, White
Birth Date:
Age: 80 years
Occupation: (blank)
Place of Birth: Ky.
Name of Father: John AMBURGEY
Birthplace Father: Ky.
Maiden Name of Mother: (blank)
Birthplace Mother: Ky.
Informant: Ambrous AMBURGEY, Bath, Ky.
Death Date: 06 August 1921
Cause of Death: Peralacis [sic]
Signed: (blank)
Burial Place: Semore Amburgey
Date of Burial: 07 August 1921
Undertaker: (blank)
File Date: 08 August 1921
Transcribed by Debbie Tamborski, 06 December 2008