DEATH CERTIFICATE

WILEY J. AMBURGEY, JR.

Date    16 August 1918
Cert: #  20829
Name:  Wiley J. AMBURGEY, Jr.
Male, White, Single
Age:  1 years, 11 months, 12 days
Place of Death: Knott Co., KY  
Birth Date:  04 September 1916       
Place of Birth:  Knott Co., Ky.
Father:  Sim AMBURGEY                                             Birthplace Father:  Knott Co., Ky.
Mother:  Nancy CORNETT                                                      Birthplace Mother:  Letcher Co., Ky.
Informant:  (not listed)
Death Date:  16 August 1918
Cause of Death:  Double Pneumonia of both lungs
Signed:  M. F. Kelley, M.D.
Burial Place:  Amburgey Cemetery
Undertaker:  Sim Amburgey, Bath, Ky.
File Date: 10 September 1918
Transcribed by Debbie Tamborski, 28 October 2008