DEATH CERTIFICATE

LUNA AMBURGEY

Date    23 August 1914
Deathvol Vol:   1914
Cert: #  21575
Name:  Luna AMBURGEY
Female, White, Single
Age:  15 years, 4 months, 17 days
Place of Death: Voting Pct. No. 6, Knott Co., KY
Birth Date:  06 April 1899
Place of Birth:  Knott, Ky.
Father:  Robert AMBURGEY                                                 Birthplace Father:  Knott
Mother:  Julia FRANCIS                                                      Birthplace Mother:  Knott, Ky.
Informant:  J. M. KELLEY, M.D., Smithsboro, Ky.
Death Date:  23 August 1914
Cause of Death:  obstruction of the bowels
Signed:  F. C. Roark, M.D.
Burial Place:  Silas Francis
Undertaker:  J. M. Kelley, Smithsboro, Ky.
File Date: 26 August 1914
Transcribed by Debbie Tamborski, 24 July 2008