DEATH CERTIFICATE

WILBURN AMBURGY

Date  15 April 1920
Cert: #  20803
Name:  Wilburn AMBURGY
Place of Death: Voting Pct. Bath, Knott Co., KY
Male, White, Single
Birth Date:  10 July 1896
Age: 23 years, 09 months, 05 days 
Occupation:  School Boy
Place of Birth:  Knott Co., Ky.
Name of Father:  Wiley AMBURGY
Birthplace Father:  Kentucky
Maiden Name of Mother:  Surilda MADDEN
Birthplace Mother:  Kentucky
Informant:  (blank)
Death Date:  15 April 1920
Cause of Death:  Tuberculosis of lungs
Signed:  M. F. Kelley, M.D. 
Burial Place:  Amburgy Cemetery
Date of Burial:  April 1920
Undertaker:  Jethro Amburgy, Bath, Ky. 
File Date:  (blank)
Transcribed by Debbie Tamborski, 07 December 2008