DEATH CERTIFICATE

JOHN MOTEN

Date  16 April 1925
Cert: #  9992
Name:  John MOTEN
Place of Death: Voting Pct. #2, Knott Co., KY
Male, White, Married
Birth Date:  02 August 1862 
Age:  60 years
Occupation:  (blank) 
Place of Birth:  Ky.
Name of Father:  Henry MOTEN
Birthplace Father:  Va. 
Maiden Name of Mother:  Polly AMBURGEY
Birthplace Mother:  Ky. 
Informant:  Bird MOTENS, Littcarr
Death Date:  16 April 1925
Cause of Death:  turbulocis of the lungs [sic] 
Signed:  (blank)
Burial Place:  Semore Amburgey
Date of Burial:  17 April 1925 
Undertaker:  Jeptha Amburgey, Bath, Ky.
File Date:  10 April 1925 (transcribed as written) 
Transcribed by Debbie Tamborski, 16 January 2009