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