DEATH CERTIFICATE

(Still born) AMBURGEY

Date  27 January 1924
Cert: #  4329
Name:  (Still born) AMBURGEY
Place of Death: Voting Pct. #1 Hindman, Knott Co., KY
Sex (blank)  Color or Race (blank)
Birth Date:  27 January 1924
Age: (blank)
Occupation:  (blank)
Place of Birth:  Knott
Name of Father:  Marcus AMBURGEY
Birthplace Father:  Knott
Maiden Name of Mother:  Cassie CAMPBELL
Birthplace Mother:  Knott
Informant:  (blank)
Death Date:  27 January 1924
Cause of Death:  unknown
Signed:  Jane Childers, M.D.
Burial Place:  (blank)
Date of Burial:  (blank)
Undertaker:  (blank) 
File Date:  08 March 1924
Transcribed by Debbie Tamborski, 06 December 2008