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DEATH
CERTIFICATE
JOHN C. COBURN
Date: 25 January 1951
Cert: 02212
Place of Death: County: Floyd City or Town:
Prestonsburg
Length of stay (in this place): (blank)
Name of Hospital or Institution: Home
Usual Residence of Deceased: State: Kentucky County:
Floyd
City or Town: Prestonsburg Street Address: (blank)
Full Name: John C. COBURN
Date of Death: 25 January 1951
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: September 1870
Age: 79 years, 04 months
Usual Occupation: Farmer
Kind of Industry or business: Farming
Birthplace: Knott Co., Kentucky
Father's Name: Jackson COBURN
Mother's Maiden Name: Clarinda NEELEY
Was deceased ever in armed forces: no
Social Security No.: No
Informant: J. (?illegible?) COBURN
Disease or condition directly leading to death: Ca
Prostate
Interval between onset and death: 02 years
Due to: Nephritis - Chronic
Interval between onset and death: 06 months
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 20 January 1951 to
25 January 1951, that I last saw the deceased alive on 25
January 1951, and
that death occurred at 10 a.m., from the causes and on the
date stated above.
Date signed: (blank)
Address: Prestonsburg, Kentucky
Signature: George P. Archer, M.D.
Burial, Cremation or Removal: Burial
Date: 27 January 1951
Name of Cemetery or Crematory: (blank)
Location: Abbott Creek, (Floyd), Ky.
Date received by local registrar: 13 February 1951
Registrar's Signature: Lucy Ransdell
Funeral director & address: Carter & Callihan
Funeral Home, Prestonsburg, Kentucky
Transcribed by Debbie Tamborski, 22 July 2010 |
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