DEATH CERTIFICATE

BEN GIBSON

Date    14 September 1936
Cert: #  24079                                                              
Name:  Ben GIBSON
Male, White, Married                                                          Name of Husband or Wife:  Sylvia GIBSON
Age:  not given about 50
Place of Death: Asylum, Eastern State Hosp., Lexington, Fayette Co., KY                                                                       Residence:  Smithsboro, Knott Co., KY
Birth Date:  not given about 50                                    Occupation:  Farmer
Place of Birth:  not given
Father:  not given                                                           Birthplace Father:  not given
Mother:  not given                                                         Birthplace Mother:  not given
Informant:  R___ E.S.H.
Death Date:  14 September 1936
Cause of Death:  Pellagra        Contributory:  Psyclersis
Signed:  Walker B. Gossett, M.D. Eastern State Hosp.
Burial Place:  Hazard, Ky.
Undertaker:  Engle, Hazard, Ky.
File Date: 25 September 1936
Transcribed by Debbie Tamborski, 06 August 2008