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DEATH
CERTIFICATE
CHARLEY GIBSON
Date 08 August 1934
Cert: 20348
Name: Charley GIBSON
Place of Death: Voting Pct. Rock Fork #17,
Boleyn, Knott Co., KY
Residence: (blank)
Length of residence: (blank)
Male, White
Husband or Wife of: (blank)
Birth Date: 09 September 1933
Age: 10 months, 30 days
Occupation: (blank)
Place of Birth: Madison Co., Ky., Big Hill P.O.
Name of Father: J. S. GIBSON
Birthplace Father: Madison Co., Ky.
Maiden Name of Mother: Cosby COLLINS
Birthplace Mother: Wise Co., Va.
Informant: Elijah BOLEN, Bolyn, Ky.
Death Date: 08 August 1934
Cause of Death: July 1, 1934, Diarrhoea
Signed: Mark Dempsey, M.D., Garrett, Ky.
Burial Place: Noah Bolen, Bolyn, Ky.
Date of Burial: 09 August 1934
Undertaker: None, Lige Baker, Bolyn, Ky. acted as
undertaker
File Date: 11 August 1934
Transcribed by Debbie Tamborski, 17 July 2009
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