DEATH CERTIFICATE
(stillbirth) AMBURGEY

Date    05 August 1914
Deathvol Vol:   1914
Cert: #  21573
Name:  (stillbirth) AMBURGEY
Male, White
Age:  (Blank)
Place of Death: Voting Pct. No. 2, Knott Co., KY
Birth Date:  05 August 1914
Place of Birth:  Knott Co., Ky.
Father:  William AMBURGEY                                                 Birthplace Father:  Knott Co., Ky.
Mother:  Stellie BOWENS                                                       Birthplace Mother:  Knott Co., Ky.
Informant:  William BLAIR, Bath, Ky.
Death Date:  05 August 1914
Cause of Death:  Stillbirth
Signed:  (Blank)
Burial Place:  Mary Amburgey
Undertaker:  (Blank)
File Date: 07 August 1914
Transcribed by Debbie Tamborski, 24 July 2008