DEATH
CERTIFICATE
ELIZABETH AMBURGEY
Date 20 April 1938 Cert: 09898 Place of Death: Voting Pct.: Neon, Letcher Co., Ky. Full Name: Elizabeth AMBURGEY Residence: Neon Length of Residence: (blank) Sex, Color or Race, Marital Status: Female, White, Widowed Husband or Wife of: Alfred AMBURGEY Date of Birth: 20 August 1853 Age: 85 years Occupation: Housewife Birthplace: Knott Co. Father Name: Willey AMBURGEY Birthplace Father: Knott Co. Mother Maiden Name: (blank) Birthplace Mother: (blank) Informant/Address: Claud AMBURGEY, Neon Burial Cremation Removal Place: Fleming Date: 21 April 1938 Undertaker/Address: Chester A. Johnson, Neon, Ky. Filed: 04 May 1938 Registrar: Nerva B. Howard Death of Date: 20 April 1938 I hereby certify, That I attended deceased from 10 April 1938 to 20 April 1938, that I last saw her alive on 20 April 1938, death is said to have occurred on the date stated above, at 10 a.m. Cause of Death: Bronchial pneumonia Date of onset: (blank) Contributory causes: (blank) Name of operation: (blank) Was there an autopsy: No Accident, suicide, homicide: (blank) Date of Injury: (blank) Where did injury occur: (blank) Specify whether injury occurred industry, home, public place: Manner of injury: (blank) Nature of injury: (blank) Related to occupation: (blank) Signed/Address: E. G. Skaggs, M.D., Fleming, Ky. Transcribed by Debbie Tamborski, 22 April 2010 |