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DEATH
CERTIFICATE
MARY LOIS AMBURGEY
Date 21 July 1937
Cert: 19119
Name: Mary Lois AMBURGEY
Place of Death: Voting Pct. #2 Upper Carr, Knott Co., KY
Residence: Ivan, Ky.
Length of residence: (blank)
Female, White, Infant
Husband or Wife of: (blank)
Birth Date: 03 April 1937
Age: 03 months, 18 days
Occupation: (blank)
Place of Birth: Knott Co.
Name of Father: Lonnie AMBURGEY
Birthplace Father: Knott Co.
Maiden Name of Mother: Hattie ADAMS
Birthplace Mother: Knott Co.
Informant: (blank)
Death Date: 21 July 1937
Cause of Death: Diareaha
Signed: (blank)
Burial Place: Amburgey Cemetery
Date of Burial: 22 July 1937
Undertaker: (blank)
File Date: 22 July 1937
Registrar: Henry Blair
Transcribed by Debbie Tamborski, 23 September 2009 |
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