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 |
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