DEATH CERTIFICATE

(Stillbirth) AMBURGEY

Date  02 July 1920
Cert: #  18756
Name:  (Stillbirth) AMBURGEY
Place of Death: Voting Pct. #2, Knott Co., KY
Male, White
Birth Date:  02 July 1920
Age: Stillbirth
Occupation:  (blank)
Place of Birth:  Ky.
Name of Father:  Troy AMBURGEY
Birthplace Father:  Ky.
Maiden Name of Mother:  Della COLLINS
Birthplace Mother:  Ky.
Informant:  Ison AMBURGEY, Pinetop, Ky.
Death Date:  02 July 1920
Cause of Death:  (stillbirth)
Signed:  (blank)
Burial Place:  Semore Amburgey
Date of Burial:  03 July 1920
Undertaker:  (blank) 
File Date:  05 July 1920
Transcribed by Debbie Tamborski, 07 December 2008