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DEATH
CERTIFICATE
ROSA AMBURGEY
Date 26 September 1936
Cert: 25062
Name: Rosa AMBURGEY
Place of Death: Voting Pct. 2, Knott Co., KY
Residence: Ivan, Ky.
Length of residence: (blank)
Female, White, Widow
Husband or Wife of: John S. AMBURGEY
Birth Date: 16 April 1860
Age: 76 years, 07 months, 05 days
Occupation: Housewife
Place of Birth: Knott Co.
Name of Father: Wesley PIGMAN
Birthplace Father: Knott Co.
Maiden Name of Mother: Polly CORNETT
Birthplace Mother: Knott Co.
Informant: G. W. VANCE, May, Ky.
Death Date: 26 September 1936
Cause of Death: Broken Hip
Signed: (blank)
Burial Place: W. S. Amburgey
Date of Burial: 27 September 1936
Undertaker: (blank)
File Date: 01 October 1936
Transcribed by Debbie Tamborski, 16 September 2009 |
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