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DEATH
CERTIFICATE
FRANK AMBURGY
Date 18 July 1939
Cert: 18513
Place of Death: Voting Pct.: 3rd ward, Mt. Sterling,
Montgomery Co., Ky.
Full Name: Frank AMBURGY
Residence: S. Green St.
Length of Residence: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Susan AMBURGY
Date of Birth: 03 June 1864
Age: 75 years, 01 months
Occupation: Farmer
Birthplace: Knott County, Ky.
Father Name: Wm. AMBURGY
Birthplace Father: Kentucky
Mother Maiden Name: Hannah BENTLEY
Birthplace Mother: Kentucky
Informant/Address: W. J. AMBURGY, Jeffersonville, Ky.
Burial Cremation Removal Place: Lovely Graveyard
Date: 19 July 1939
Undertaker/Address: A. L. Mitchell, Mt. Sterling, Ky.
Filed: 19 July 1939
Registrar: Mrs. Ray W. (illegible)
Death of Date: 18 July 1939
I hereby certify, That I attended deceased from 13 July 1939 to
18 July 1939, that I last saw him alive on 18 July 1939, death
is said to have occurred on the date stated above, at 12:30
a.m.
Cause of Death: Coronary sclerosis
Date of onset: (blank)
Contributory causes: (blank)
Name of operation: none
Accident, suicide, homicide: (blank)
Date of Injury: (blank)
Where did injury occur: (blank)
Specify whether injury occurred industry, home, public place:
Manner of injury: (blank)
Nature of injury: (blank)
Related to occupation: no
Signed/Address: (illegible), M.D., Mt. Sterling, Ky.
Transcribed by Debbie Tamborski, 01 May 2010 |
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