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