Death Certificate of Coggins, Katherine F

Narrative summary of the form data:

Katherine F. Coggins was born in 1843 in Northampton Co. to Bridges
Odom and E. Mann. She lived in Conway, N.C., was married, and died
on 7 Mar 1918 in North Carolina at age 75 years and 14 days. Cause of
death was asthma and indigestion.

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| Field                                                   | Value                                           |
|---------------------------------------------------------|-------------------------------------------------|
| 1 PLACE OF DEATH                                        | Kirby, Northampton Co, North Carolina  Kirby,          |
| 2 FULL NAME                                             | Katherine F. Coggins                            |
| 3 Sex                                                   | Female                                          |
| 4 Color or Race                                         | White                                           |
| 5 Single, Married, Widowed, or Divorced                 | Married                                         |
| 5a If married, widowed, or divorced Husbandof(or)Wifeof | (blank)                                         |
| 6 Date of Birth (month, day, and year)                  | 1843                                            |
| 7 Age                                                   | 75 years 14 days                                |
| 8 Occupation of Deceased                                | Farmers wife                                    |
| 9 Birthplace (city or town)                             | Northampton Co.                                 |
| 10 Name of Father                                       | Bridges Odom                                    |
| 11 Birthplace of Father (city or town)                  | Northampton Co.                                 |
| 12 Maiden Name of Mother                                | E. Mann                                         |
| 13 Birthplace of Mother (city or town)                  | Northampton Co.                                 |
| 14 Informant (Address)                                  | C. A. Britt, Conway, N.C.                       |
| 15 Filed                                                | 4/5/1918, P. A. Brittle                         |
| 16 Date of Death (month, day, and year)                 | March 7, 1918                                   |
| 17 I HEREBY CERTIFY                                     | (blank)                                         |
| The CAUSE OF DEATH was as follows                       | Asthma & Indigestion                            |
| 19 Place of Burial, Cremation, or Removal               | At home Conway                                  |
| Date of Burial                                          | 3/10/1918                                       |
| 20 Undertaker                                           | Bristow & Fythe, Conway, NC                     |
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