DEATH CERTIFICATE

RAY COBERN JR.

Date  23 March 1935
Cert:  7423
Name:  Ray COBERN, Jr.
Place of Death: Voting Pct. Hindman, Knott Co., KY
Residence:  (blank)
Length of residence: (blank)
Male, White
Husband or Wife of: (blank)
Birth Date: 20 March
Age: (blank)
Occupation: (blank)
Place of Birth:  (blank)
Name of Father:  Ray COBERN
Birthplace Father:  Kentucky
Maiden Name of Mother:  Judy RICHIE
Birthplace Mother:  Kentucky 
Informant:  Ray COBERN, Sr.
Death Date:  23 March 1935
Cause of Death:  Lobar pneumonia
Signed:  M. F. Kelly, M.D., Hindman, Ky.
Burial Place:  Patrick Cemetery
Date of Burial:  21 March 1935 (transcribed as written)
Undertaker:  Ray COBERN, Hindman, Ky.
File Date:  09 April 1935
Transcribed by Debbie Tamborski, 12 August 2009