DEATH CERTIFICATE

MARY AMBURGEY

Date  05 November 1926
Cert: #  28734
Name:  Mary AMBURGEY
Place of Death: Voting Pct. #15, Knott Co., KY
Female, White, Married
Birth Date:  18 September 1879
Age: 47 years, 01 months, 18 days 
Occupation:  Non
Place of Birth:  Letcher Co., Ky.
Name of Father:  Robert COLLINS
Birthplace Father:  Letcher Co., Ky.
Maiden Name of Mother:  Elizabeth COLLINS
Birthplace Mother:  Letcher Co., Ky.
Informant:  Ben AMBURGEY, Sassafras, Ky.
Death Date:  05 November 1926
Cause of Death:  Paralysis
Signed:  W. B. Hopkins, M.D.
Burial Place:  R. S. Cornetts
Date of Burial:  06 November 1926
Undertaker:  Ben Amburgey, Sassafras, Ky. 
File Date:  13 November 1926
Transcribed by Debbie Tamborski, 07 December 2008