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DEATH
CERTIFICATE
ANDREW GIBSON
Date: 30 July1946
Cert: 15983
Place of Death: County: Letcher City or Town:
Colson
Street No. or Location: Colson
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Letcher
City or Town: Colson If rural,
give precinct: Colson
Full Name: Andrew GIBSON
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of: single
Age of husband or wife if alive: (blank)
Birth date of deceased: 01 January 1946
Age: 06 months, 30 days
Birthplace: Knott Co., Ky. (May, Ky.)
Occupation: none
Industry or business: (blank)
Father Name: Troy GIBSON
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Nola COLLINS
Mother Birthplace: Knott Co., Ky.
Informant: Philip GIBSON (grand father) Colson,
Ky.
Burial Place: May, Ky.
Date: 30 July 1946
Signature of funeral director: Family, Colson, Ky.
Date received by local registrar: 02 August 1946
Registrar's Signature: E. M. Collins
Date of Death: 30 July 1946
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at 1 a.m.
Immediate cause of death: Fermentative Diarrhea
Duration: 10 days
Due to: (blank)
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: R. D. Collins, M.D., Whitesburg,
Ky.
Date signed: 02 August 1946
Transcribed by Debbie Tamborski, 09 June 2010 |
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