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DEATH
CERTIFICATE
VON D. AMBURGY
Date 01 February 1939
Cert: 4634
Name: Von D. AMBURGEY
Place of Death: Voting Pct. #9, Knott Co., KY
Residence: Ivan, Ky.
Length of residence: (blank)
Male, White, Single
Husband or Wife of: (blank)
Birth Date: 17 May 1938
Age: 08 months, 14 days
Occupation: (blank)
Place of Birth: Knott Co.
Name of Father: Loid AMBURGY
Birthplace Father: Knott Co.
Maiden Name of Mother: Callie AMBURGY
Birthplace Mother: Knott Co.
Informant: Willie BLAIR, May, Ky.
Death Date: 01 February 1939
Cause of Death: Pneumonia
Signed: Dr. Back, M.D., Whitesburg, Ky.
Burial Place: Ivan, Ky.
Date of Burial: (blank)
Undertaker: (blank)
File Date: 02 February 1939
Registrar: Henry Blair
Transcribed by Debbie Tamborski, 10 November 2009 |
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