DEATH CERTIFICATE
OWEN COBURN

Date    16 Septemer 1917
Cert: #  23341
Name:  Owen COBURN
Male, White, Single
Age:  13 years, 06 months, 09 days
Place of Death: Voting Precinct #8, Knott Co., KY  
Birth Date:  07 March 1904                              
Place of Birth:  Ky.                     
Father:  James H. COBURN                                         Birthplace Father:  Kentucky
Mother:  Mary AMBURGEY                                                     Birthplace Mother:  Kentucky
Informant:  James H. COBURN, Handshoe, Ky.
Death Date:  16 September 1917
Cause of Death:  Gun shot wound (accidental)
Signed:  T. J. Chandler, M.D.
Burial Place:  Hippo, Ky.
Undertaker:  (not listed)
File Date: (not listed)
Transcribed by Debbie Tamborski, 30 October 2008