Date 04 July 1921
Cert: # 15469
Name: Cephus AMBURGEY
Place of Death: Voting Pct. Pinetop, Knott Co., KY
Male, White, Single
Birth Date: 04 July 1921
Age: dead borned
Occupation: (blank)
Place of Birth: Knott Co., Ky.
Name of Father: Bob AMBURGEY
Birthplace Father: Knott Co.
Maiden Name of Mother: Mary Lize BENTELY
Birthplace Mother: Knott Co., Ky.
Informant: (blank)
Death Date: 04 July 1921
Cause of Death: dead borned stillbirth
Signed: (blank)
Burial Place: Amburgey Cemetery
Date of Burial: 06 July 1921
Undertaker: (blank)
File Date: (blank)
Transcribed by Debbie Tamborski, 06 December 2008