Date: 28 February 1948
Cert: 08262
Place of Death: County: Knott City or
Town: Lackey
Name of Hospital or Institution: Stumbo Mem. Hosp.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Garner Rural
Full Name: Beatrice GIBSON
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: Mason GIBSON
Age of husband or wife if alive: 35 years
Birth date of deceased: 27 February 1922
Age: 26 years, 00 months, 01 days
Birthplace: Knott Co., Ky.
Occupation: Housewife
Industry or business: (blank)
Father Name: Rueben MOSELY
Father Birthplace: Knott
Mother Maiden Name: Martha CLICK
Mother Birthplace: Knott
Informant: Norsie SHORT, Garner
Burial Place: Garner
Date: 29 February 1948
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar: 09 April 1948
Registrar's Signature: Rose B. Craft
Date of Death: 28 February 1948
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 8 p.m.
Immediate cause of death: Encephalitis
Duration: (blank)
Due to: Measles
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. M. Aker, M.D., Lackey, Ky.
Date signed: 08 April 1948
Transcribed by Debbie Tamborski, 24 December 2010 |