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DEATH
CERTIFICATE
Mrs. COSBIE GIBSON
Date 08 February 1940
Cert: 10416
Place of Death: Voting Pct.: Bolyn, Knott Co., Ky.
Full Name: Mrs. Cosbie GIBSON
Residence: Bolyn, Ky.
Length of Residence: (blank)
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: James S. GIBSON
Date of Birth: 13 August 1896
Age: 43 years, 05 months, 24 days
Occupation: Housewife, own home
Birthplace: Wise Co., Virginia
Father Name: Frank COLLINS
Birthplace Father: (blank)
Mother Maiden Name: Victoria GIBSON
Birthplace Mother: Tacoma, VA
Informant/Address: James GIBSON - Husband, Bolyn, Ky.
Burial Cremation Removal Place: Burial Bolyn
Date: 10 February 1940
Undertaker/Address: None
Filed: 07 March 1940
Registrar: Macie Miller
Death of Date: 08 February 1940
I hereby certify, That I attended deceased from 08 February
1940 to 08 February 1940, that I last saw her alive on 08
February 1940, death is said to have occurred on the date
stated above, at 7:30 p.m.
Cause of Death: Anemia - followed by placenta previa
Date of onset: (blank)
Contributory causes: Previous and continuous bleeding for past
two weeks
Name of operation: None Autopsy:
No
Accident, suicide, homicide: (blank)
Date of Injury: (blank)
Where did injury occur: (blank)
Specify whether injury occurred industry, home, public place:
Own Home, Bolyn, Ky.
Manner of injury: (blank)
Nature of injury: (blank)
Related to occupation: Not Known
Signed/Address: Roy A. Justice, M.D., Garrett, Ky.
Transcribed by Debbie Tamborski, 17 August 2010 |
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