DEATH CERTIFICATE

DULCENA COBURN

Date    09 September 1914
Deathvol Vol:   1914
Cert: #  24013
Name:  Dulcena COBURN
Female, White, Single
Age:  1 years, 10 months
Place of Death: Voting Pct. Ballard, Jones Fork, Knott Co., KY
Birth Date:  12 September 1913            
Place of Birth:  Ballard, Ky.
Father:  Alex COBURN                                                  Birthplace Father:  Ky.
Mother:  Sallie PRATER                                                      Birthplace Mother:  Ky.
Informant:  (Blank)
Death Date:  09 September 1914
Cause of Death:  acute nephritis
Signed:  M. V. Wicker, M.D.
Burial Place:  Bolyn Graveyard
Undertaker:  Geo Bolyn, Ballard, Ky.
File Date: 05 October 1914
Transcribed by Debbie Tamborski, 27 July 2008