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DEATH
CERTIFICATE
AMBURGEY
Date 8 February 1911
Deathvol
Vol: 1911
Cert: # 4215
Name: AMBURGEY
Male, White
Age: Stillbirth
Place of Death: Voting Pct No. 2, Pinetop, Knott Co., KY
Birth Date: 8 February 1911
Place of Birth: Knott Co., KY
Father: William AMBURGEY
Mother: Stelley BOWENS
Informant: Nancy A. Amburgey
Death Date: 8 February 1911
Cause of Death: By the mother falling and hitting
herself accidently
Signed: Nancy A. Amburgey M.W.
Burial Place: Amburgey Graveyard
Undertaker: G.W. Amburgey
File Date: 18 February 1911
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