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DEATH
CERTIFICATE
RACHEL BETH AMBURGEY
Date 17 November 1935
Cert: 27739
Name: Rachel Beth AMBURGEY
Place of Death: Voting Pct. Upper Carr #2, Knott Co., KY
Residence: Bath, Ky.
Length of residence: (blank)
Female, White, Infant
Husband or Wife of: (blank)
Birth Date: (blank)
Age: 03 years
Occupation: (blank)
Place of Birth: Bath, Knott Co., Ky.
Name of Father: Ballard AMBURGEY
Birthplace Father: Bath, Ky.
Maiden Name of Mother: Ana MOXLEY
Birthplace Mother: Ivan
Informant: Ballard AMBURGEY, Bath
Death Date: 17 November 1935
Cause of Death: Dyptheria
Signed: (blank)
Burial Place: Logan Cemetery
Date of Burial: 18 November 1935
Undertaker: (blank)
File Date: 18 November 1935
Transcribed by Debbie Tamborski, 12 August 2009
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