DEATH CERTIFICATE

TENA AMBURGEY

Date 21 July 1912
Deathvol
Vol:   1912
Cert: # 17751
Name: Tena AMBURGEY
Female, White, Single
Age: 11 months, 15 days
Place of Death: Voting Pct No. #2, Knott Co., KY
Birth Date: 06 July 1911
Place of Birth: Knott Co., KY
Father: Noah AMBURGEY                                                Birthplace Father: Knott Co., KY
Mother: Minnie COLLINS                                               Birthplace Mother: Knott Co., KY
Informant: Noah AMBURGEY
Death Date: 21 July 1912
Cause of Death: (?Eutera) Colitis
Signed:   T.A. Cook
Burial Place: G.A. Collins
Undertaker: Gus Pigman
File Date: 27 July 1912
Transcribed by Debbie Tamborski, 13 June 2008