Date:  10 August 1950
Cert:  27334 
Place of Death: County: Knott      City or Town: Handshoe, Ky. Rural
Length of stay (in this place): Life
Street address or location:  Upper Quicksand
Usual Residence of Deceased: State: Kentucky    County: Knott
City or Town: Handshoe   Rural      If rural give precinct: Upper Quicksand
Full Name:  Luvisa BOLEYN COBURN
Date of Death:  10 August 1950
Sex, Color or Race, Marital Status: Female, White, Widowed
Date of Birth:  20 December 1877
Age:  72 years
Usual Occupation: Housewife
Kind of Industry or business: Own Home
Birthplace:  Knott Co., Ky. 
Father's Name:  Wheatley BOLEYN
Mother's Maiden Name:  Nancy HOLLIDAY
Was deceased ever in armed forces: No
Social Security No.:  None
Informant:  Mrs. Nannie COBURN
Disease or condition directly leading to death: Lobar Pneumonia
Interval between onset and death:  05 days
Due to:  (blank)
Other significant conditions: none
Date of Operation: none
Major findings of operation: none
Autopsy: No
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 07 August 1950 to 10 August 1950, that I last saw the deceased alive on 10 August 1950, and that death occurred at (blank), from the causes and on the date stated above.
Date signed:  1952
Address:  Garrett, Ky.
Signature:  Mark Dempsey, M.D.
Burial, Cremation or Removal:  Burial
Date:  13 August 1950
Name of Cemetery or Crematory:  Chaffins Cemetery
Location:  Garrett, Knott, Ky.
Date received by local registrar: September 1950
Registrar's Signature:  Mrs. Rose B. Craft
Funeral director & address:  Arnold Funeral Home, Brandy Shepherd, Director, Prestonsburg, Ky.
Transcribed by Debbie Tamborski, 12 January 2011