DEATH CERTIFICATE

WILLIAM AMBURGY, JR.

Date    12 October 1917
Cert: #  28256
Name:  William AMBURGY, Jr.
Male, White, Single
Age:  2 years, 2 months, 7 days
Place of Death: Hindman, Knott Co., KY  
Birth Date:  05 August 1915                             
Place of Birth:  Knott Co., Ky.
Father:  William AMBURGY, Sr.                                         Birthplace Father:  Kentucky
Mother:  Fair COMBS                                                       Birthplace Mother:  Kentucky
Informant:  (not listed)
Death Date:  12 October 1917
Cause of Death:  Pneumonia in both lungs
Signed:  M. F. Kelley, M.D.
Burial Place:  Patton Cemetery
Undertaker:  William Amburgy, Sr., Leburn, Ky.
File Date: 08 November 1917
Transcribed by Debbie Tamborski, 28 October 2008