DEATH CERTIFICATE

ALICE BOLEN GIBSON

Date    16 October 1965
Cert: #  116 65 25110
Name:  Alice Bolen GIBSON
Female, White, Widowed
Age:  85 years, 16 days
Place of Death: Beaver Valley Hospital, Martin, Floyd Co., Ky. Usual Residence:  Garrett, Floyd Co., Ky.   
Birth Date:  30 September 1880                               
Place of Birth:  Garrett, Ky.
Father:  Noah BOLEN (deceased)    
Mother:  Margret CARPENTER (deceased)                      
Informant:  Wiley GIBSON (son) Garrett, Ky.
Death Date:  16 October 1965
Cause of Death:  Congestive Heart Failure & Lobar Pneumonia
Signed:  C .L. Allen, M.D.
Burial Place:  Gibson Cemetery, Garrett, Floyd Co., KY
Undertaker:  Merion Funeral Chapel, Martin, Ky.
File Date: 29 November 1965
Transcribed by Debbie Tamborski, 11 September 2008