DEATH CERTIFICATE

 BEN GIBSON

Date:   20 November 1943
Cert:   15299 
Place of Death: County: Knott     City or Town: Raven
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky   County: Knott
City or Town:  Raven
Full Name:  Ben GIBSON
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of:  Margaret CAUDILL GIBSON
Age of husband or wife if alive:  (blank)
Birth date of deceased:  14 February 1870
Age: 73 years, 09 months, 06 days
Birthplace:  Raven, Ky.
Occupation:  Farmer
Industry or business: (blank)
Father Name:  Miles GIBSON
Father Birthplace:  Knott Co., Ky.
Mother Maiden Name:  Susan GIBSON
Mother Birthplace:  Raven, Ky.
Informant:  Beckham SLONE, Dema, Ky.
Burial Place:  Raven, Ky.
Date:  21 November 1943
Signature of funeral director: J. C. Mosley, Raven, Ky.
Date received by local registrar:  04 April 1945
Registrar's Signature:  Rose B. Craft, acting, per B. Carns
Date of Death:  20 November 1943
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 (blank)
Immediate cause of death:  Chronic Nephritis
Duration: (blank)
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:  M. V. Wicker, M.D., Wayland, Ky.
Date signed:  04 April 1945
Transcribed by Debbie Tamborski, 23 October 2010