|
DEATH
CERTIFICATE
DAVE GIBSON
Date 17 March 1946
Cert: Original #08533
Place of Death: County: Floyd City or
Town: Dema
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Dema
Full Name: Dave GIBSON
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Julia GIBSON
Age of husband or wife if alive: 50 years
Birth date of deceased: (blank)
Age: 64 years
Birthplace: Knott Co., Ky.
Occupation: Mines (Coal)
Industry or business: (blank)
Father Name: Harman GIBSON
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Margaret
Mother Birthplace: Knott Co., Ky.
Informant: Mary BRADLEY, Dema, Ky.
Burial Place: Dema, Ky.
Date: 19 March 1946
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar: 29 April 1946
Registrar's Signature: Lucy Ramsdell
Date of Death: 17 March 1946
I hereby certify that I attended deceased from 17 March 1946 to
17 March 1946, that I
last saw him alive on 17 March 1946, and that death occurred on the date
stated above at 4:00 p.m.
Immediate cause of death: apoplexy
Due to: Hypertension
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: M. V. Wicker, M.D., Wayland, Ky.
Date signed: (blank)
Transcribed by Debbie Tamborski, 10 February 2010 |
|