DEATH CERTIFICATE
DOLLIE COUBERN

Date    07 July 1913
Deathvol Vol:   1913
Cert: #  19375
Name:  Dollie COUBERN
Female, White, Married
Age:  38 years, 06 months, 10 days
Place of Death: Voting Pct. Hindman, Knott Co., KY
Birth Date:  Not Listed
Place of Birth:  Knott Co., Ky.
Father:  George CHILDERS                                                 Birthplace Father:  Ky.
Mother:  Jane CORNETT                                                 Birthplace Mother:  Knott Co.
Informant:  Not Listed
Death Date:  07 July 1913
Cause of Death:  Heart failure
Signed:  Not Listed
Burial Place:  Hindman Cem.
Undertaker:  Not Listed
File Date: 10 August 1913
Transcribed by Debbie Tamborski, 22 July 2008