DEATH
CERTIFICATE
LENA AMBURGY
Date 21 August 1914
Deathvol Vol: 1914
Cert: # 21571
Name: Lena AMBURGY
Female, White, Single
Age: 16 years, 3 months, 11 days
Place of Death: Voting Pct., Knott Co., KY
Birth Date: 10 May 1898
Place of Birth: Knott Co., Ky.
Father: Wm. AMBURGY
Birthplace Father: Kentucky
Mother: July FRANCIS
Birthplace Mother: Kentucky
Informant: M. F. KELLEY, M.D. Hindman, Ky.
Death Date: 21 August 1914
Cause of Death: Tuberculosis pertinitis of the
intestines
Signed: M. F. Kelley, M.D.
Burial Place: Ed Tolivers
Undertaker: J. M. Kelley, Smithsboro, Ky.
File Date: 10 September 1914
Transcribed by Debbie Tamborski, 24 July 2008 |
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