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 |
|