DEATH
CERTIFICATE
MCKINLEY AMBURGY
Date 05 April 1929
Cert: 17880
Place of Death: Voting Pct: Perry Co., Ky.
Full Name: McKinley AMBURGY
Sex, Color or Race, Marital Status: Male, White, Single
Date of Birth: 14 April 1915
Age: 13 years, 11 months, 21 days
Occupation: infant
Birthplace: Knott Co., Ky.
Name of Father: Harlan AMBURGY
Birthplace Father: Letcher Co., Ky.
Maiden name of Mother: Rosalee HALL
Birthplace Mother: Floyd Co., Ky.
Informant/Address: Father
Filed: 19 June 1929
Registrar: C. D. Combs
Death Date: 05 April 1929
I hereby certify that I attended deceased from 05 April 1919
a.m., to 05 April 1929 p.m., that I last saw him alive on 05
April 1929, and that death occurred, on the date stated above
at 6:40 p.m.
Cause of Death: Unknown - probable cause poisoning or
cerebromeningitis
Duration: 01 day
Contributory: (blank)
Signed/Address: Arthur Vandevert, M.D.,
07 April 1929, Allock, Ky.
Place of Burial or Removal: Carr Creek
Date of Burial: 06 April 1929
Undertaker/Address: (blank)
Transcribed by Debbie Tamborski, 27 March 2010 |
|