Date:   09 February 1942
Cert:   04242 
Place of Death: County: Knott     City or Town:  Mousie
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town:  Mousie
Full Name:  Ada GIBSON
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of:  Sesco GIBSON
Age of husband or wife if alive:  45 years
Birth date of deceased:  26 July 1898
Age: 43 years, 06 months, 10 days
Birthplace:  Knott Co., Ky.
Occupation:  Housewife
Industry or business: (blank)
Father Name:  Isom GIBSON
Father Birthplace:  Knott Co.
Mother Maiden Name:  Margret STURGILL
Mother Birthplace:  Knott Co.
Informant:  Margret STURGILL, Mousie, Ky.
Burial Place:  Mousie, Ky.
Date:  11 February 1942
Signature of funeral director: E. P. Arnold, Prestonsburg, Ky.
Date received by local registrar:  16 February 1942
Registrar's Signature:  Ida Livingston
Date of Death: 09 February 1942
I hereby certify that I attended deceased from 15 January 1942 to (blank), that I last saw h-- alive on 09 February 1942, and that death occurred on the date stated above at 8:45 a.m.
Immediate cause of death:  Hypertensive heart disease
Duration: 01 year
Due to: c decompensation  malignant hypertension
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: C. R. Messer, M.D., Lackey, Ky.
Date signed:  13 February 1942
Transcribed by Debbie Tamborski, 17 October 2010