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 |
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