Date:    04 May 1944
Cert:    12235 
Place of Death: County: Knott   City or Town: Bolyn, Ky.  Rural
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:  Bolyn, Ky.     Rural 
Full Name:  Caroline GIBSON 
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status:  Female, White, Widow
Husband or Wife of:  Lark GIBSON
Age of husband or wife if alive: Deceased
Birth date of deceased:  18 January 1876 
Age:  68 years, 03 months, 16 days
Birthplace:  (blank) 
Occupation:  Housewife 
Industry or business: Housekeeping
Father Name:  Enoch BOLEN 
Father Birthplace:  Tennessee 
Mother Maiden Name:   Jane MISER 
Mother Birthplace:  Tennessee 
Informant:  W. R. BOLEN, Bolyn, Ky. 
Burial Place:  Bolyn, Ky. 
Date:  (blank) 
Signature of funeral director:  Monroe Bolen, Bolyn, Ky.
Date received by local registrar:  (blank) 
Registrar's Signature: Ida Livingston
Date of Death:  04 May 1944 
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:  Neighbors report that Mrs. Gibson worked in the field, came in near noon & helped prepare dinner for family & work hands.  After dinner, she was sitting talking with the crowd & fell over.  Thinking she had fainted, they raised her up & found she was dead.  No M.D. there.
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:  J. W. Duke, M.D., Hindman, Ky.
Date signed:  16 May 1944 
Transcribed by Debbie Tamborski, 12 November 2010