DEATH CERTIFICATE

BURTON AMBURGEY

Date  01 May 1921
Cert: # 10686
Name:  Burton AMBURGEY
Place of Death: Voting Pct. #1 Leburn, Knott Co., KY
Male, White, Married
Birth Date:  10 March 1899
Age: 20 years, 01 months, 21 days 
Occupation:  Farmer
Place of Birth:  Knott Co., Ky.
Name of Father:  John AMBURGEY
Birthplace Father:  Kentucky
Maiden Name of Mother:  Martha CRACE
Birthplace Mother:  Kentucky
Informant:  (blank)
Death Date:  01 May 1921
Cause of Death:  Pulmonary tuberculosis of the lungs
Signed:  M. F. Kelley, M.D.
Burial Place:  Dyer Cemetery
Date of Burial:  02 May 1921
Undertaker:  John Amburgey, Leburn, Ky. 
File Date:  10 May 1921
Transcribed by Debbie Tamborski, 06 December 2008