|
DEATH
CERTIFICATE
ALPHA AMBURGY
Date 13 December 1931
Cert: 30236
Place of Death: Vot. Precinct: Thornton P.O.,
Seco, Letcher Co., Ky.
Full Name: Alpha AMBURGY
Sex, Color or Race, Marital Status: Female, White,
Single
Date of Birth: (blank)
Age: 18 years
Occupation: School girl
Birthplace: Knott Co., Ky.
Name of Father: Wesley AMBURGY
Birthplace Father: Knott Co., Ky.
Maiden name of Mother: Carrie HAMMONDS
Birthplace Mother: Letcher Co., Ky.
Informant/Address: E. M. AMBURGEY, Thornton, Ky.
Filed: 13 December 1931
Registrar: Gert Smith
Death Date: 13 December 1931
I hereby certify that I attended deceased from 08 December
1931, to 13 December 1931, that I last saw h-- alive on 13
December 1931, and that death occurred, on the date stated
above at (illegible) a.m.
Cause of Death: Pernicious anemia
Duration: (blank)
Contributory: (blank)
Signed/Address: J. W. (illegible) M.D., Seco, Ky.
Length of residence at place of death: (blank)
Where was disease contracted if not at place of death?:
(blank)
Place of Burial or Removal: Thornton
Date of Burial: 14 December 1931
Undertaker/Address: R. N. Swisher, Whitesburg, Ky.,
Undertaker for (illegible) Swisher
Transcribed by Debbie Tamborski, 29 March 2010 |
|