DEATH CERTIFICATE

WILEY J. AMBURGEY

Date  17 November 1916
Cert: #  28495
Name:  Wiley J. AMBURGEY
Male, White
Age: 93 years, 06 months, 20 days
Place of Death: Voting Precinct #2, Knott Co., KY
Birth Date:  27 April 1823
Occupation:  Farmer
Place of Birth:  Va.
Name of Father:  Ambrose AMBURGEY
Birthplace Father:  NC
Maiden Name of Mother:  Rebec FRANCIS
Birthplace Mother:  NC
Informant:  R. H. AMBURGEY, Hindman, Ky.
Death Date:  17 November 1916
Cause of Death:  Old age and general breakdown
Signed:  (blank)
Burial Place:  Hale Cemetery
Date of Burial:  18 November 1916
Undertaker:  (blank)
File Date:  10 December 1916
Transcribed by Debbie Tamborski, 25 November 2008