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DEATH
CERTIFICATE
OLMA FAY AMBURGY
Date 15 August 1922
Cert: # 18372
Name: Olma Fay AMBURGY
Place of Death: Voting Pct. Sassafras, Knott Co., KY
Female, White, Single
Birth Date: 06 September 1921
Age: 11 months, 09 days
Occupation: (blank)
Place of Birth: Knott Co.
Name of Father: Leonard AMBURGY
Birthplace Father: Knott Co.
Maiden Name of Mother: Arizona HONEYCUTT
Birthplace Mother: Knott Co.
Informant: Leonard AMBURGY, Sassafras, Ky.
Death Date: 15 August 1922
Cause of Death: Broncho pneumonia
Signed: F. W. Vitori, M.D.
Burial Place: Bath, Ky., Knott Co.
Date of Burial: 17 August 1922
Undertaker: (blank)
File Date: 22 August 1922
Transcribed by Debbie Tamborski, 07 December 2008 |
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