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DEATH
CERTIFICATE
VIRGIL COBURN
Date: 25 November 1950
Cert: 24808
Place of Death: County: Floyd City or Town:
Garrett
Length of stay (in this place): all of life
Street Address or Location: Garrett, Ky.
Usual Residence of Deceased: State: Ky. County:
Floyd
City or Town: Garrett, Ky. Street Address: (blank)
Full Name: Virgil COBURN
Date of Death: 25 November 1950
Sex, Color or Race, Marital Status: Male, White, Never Married
Date of Birth: 14 April 1929
Age: 23 years
Usual Occupation: labor
Kind of Industry or business: common labor
Birthplace: Knott Co., Ky.
Father's Name: Ballard COBURN
Mother's Maiden Name: Maggie RAMEY
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Ballard COBURN
Disease or condition directly leading to death: Gunshot wound
abdomen
Interval between onset and death: less than one hour
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
Accident, suicide, or homicide: accident or homicide
Place of injury: Street
City or Town, County, State: Garrett, Floyd, Ky.
Time of Injury: 25 December 1950 8:30 p.m. (transcribed as
written)
Injury occurred at work: (blank)
How did injury occur: unknown
I hereby certify that I attended deceased from December 1950 to
(blank), that I last saw the deceased alive on (blank), and
that death occurred at 8:30 p.m., from the causes and on the
date stated above.
Date signed: 12 December 1950
Address: Lackey, Ky.
Signature: Martha A. Loving, M.D.
Burial, Cremation or Removal: Burial
Date: 30 November 1950
Name of Cemetery or Crematory: Family Cemetery
Location: Knott Co., Ky.
Date received by local registrar: 14 December 1950
Registrar's Signature: Lucy Ransdell
Funeral director/address: Hindman Funeral Home, Hindman, Ky.
Transcribed by Debbie Tamborski, 14 July 2010 |
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