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DEATH
CERTIFICATE
MARY AMBURGEY
Date 02 December 1928
Cert: 31509
Place of Death: Voting Precinct: Seco, Letcher Co., Ky.
Full Name: Mary AMBURGEY
Sex, Color or Race, Marital Status: Female, White,
(blank)
Date of Birth: (blank)
Age: 08 years
Occupation: (blank)
Birthplace: Knott
Name of Father: W. M. AMBURGEY
Birthplace Father: Knott Co.
Maiden name of Mother: (blank)
Birthplace Mother: Knott Co.
Informant/Address: W. M. AMBURGEY, Whitesburg
Filed: (blank)
Registrar: S. L. Blair by Jas Lykins
Death Date: 02 December 1928
I hereby certify that I attended deceased from (blank), to
(blank), that I last saw h-- alive on (blank), and that death
occurred, on the date stated above at (blank)
Cause of Death: Pneumonia
Duration: (blank)
Contributory: (blank)
Signed/Address: B. F. Wright, M.D., 02 December 1928, Seco
Place of Burial or Removal: Elsie Coal, Ky.
Date of Burial: 03 December 1928
Undertaker/Address: James Lykins, Whitesburg
Transcribed by Debbie Tamborski, 26 March 2010 |
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