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DEATH
CERTIFICATE
BOYCE ASHLEY AMBURGY
Date 09 August 1928
Cert: 28673
Place of Death: Voting Precinct: Perry Co., Ky.
Full Name: Boyce Ashley AMBURGY
Sex, Color or Race, Marital Status: Male, White, Single
Date of Birth: 04 December 1926
Age: 20 months, 05 days
Occupation: infant
Birthplace: Knott Co., Ky.
Name of Father: Israel AMBURGY
Birthplace Father: Kentucky
Maiden name of Mother: Gracie ASHLEY
Birthplace Mother: Knott Co., Ky.
Informant/Address: Mrs. ASHLEY (grandmother),
Sassafras, Ky.
Filed: 10 December 1928
Registrar: C. D. Combs
Death Date: 09 August 1928
I hereby certify that I attended deceased from 24 July 1928,
to 09 August 1928, that I last saw him alive on 09 August
1928, and that death occurred, on the date stated above at 8
a.m.
Cause of Death: Diarrhea Mararmus
Duration: 1 1/2 months
Contributory: (blank)
Signed/Address: Arthur Vandevert, M.D., 10
August 1928, Allock, Ky.
Place of Burial or Removal: Carr Center, Ky.
Date of Burial: 10 August 1928
Undertaker/Address: (blank)
Transcribed by Debbie Tamborski, 26 March 2010 |
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