DEATH
CERTIFICATE
JESSE JAMES AMBURGEY
Date 03 October 1933 Cert: 12406 Place of Death: Voting Pct. Whitesburg, Letcher Co., Ky. Full Name: Jesse James AMBURGEY Residence: Whitesburg, Ky. Length of Residence in city where death occurred: 07 years Sex, Color or Race, Marital Status: Male, White, Married & Separated Husband or Wife of: Lillie SIZEMORE Date of Birth: 29 January 1907 Age: 26 years, 03 months, 26 days Occupation: none - too ice Birthplace: Knott Co. Father Name: Green AMBURGEY Birthplace Father: Knott Co. Mother Maiden Name: Bettie SEXTON Birthplace Mother: (illegible), Ky., Letcher Co. Informant/Address: Mother - Mrs. Bettie AMBURGEY, Whitesburg, Ky. Filed: (blank) Registrar: (blank) Death of Date: 03 October 1933 I hereby certify that I attended deceased from time to time to (blank), that I last saw him alive on 01 October 1933, and that death occurred on the date stated above at 11 p.m. Cause of Death: Pulmonary tuberculosis Duration: 04 years Contributory: (blank) Duration: (blank) Where was disease contracted if not at place of death?: (blank) Did an operation precede death: No Date: (blank) Was there an autopsy: No What test confirmed diagnosis: (blank) Signed/Address: R. D. Collins, M.D., 18 March 1934, Whitesburg, Ky. Place of Burial or Removal: C. B. Logan Graveyard Date of Burial: 04 October 1933 Undertaker/Address: family, Whitesburg, Ky. Transcribed by Debbie Tamborski, 01 April 2010 |