Date: 12 April 1951
Cert: 12463
Place of Death: County: Knott
City or Town: Rural
Length of stay (in this place): All of life
Street address or location: Pippapass, Ky.
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural If rural give
precinct: Pippapass, Ky.
Full Name: Dora Bell GIBSON
Date of Death: 12 April 1951
Sex, Color or Race, Marital Status: Female, White, Widow
Date of Birth: 1878
Age: 73 years
Usual Occupation: (illegible)
Kind of Industry or business: (illegible)
Birthplace: (illegible)
Father's Name: (illegible)
Mother's Maiden Name: (illegible)
Was deceased ever in armed forces: (illegible)
Social Security No.: (illegible)
Informant: (illegible)
Disease or condition directly leading to death: (illegible)
Interval between onset and death: (illegible)
Due to (b): Hypertensive & arteriosclerotic heart disease
Interval between onset and death: 15 years
Due to (c): General & cerebral arteriosclerosis; obesity
Interval between onset and death: 15 - 20 years
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 11 December
1950 to 23 February 1951, that I last saw the deceased alive
on 23 February 1951, and that death occurred at 1:30 p.m.,
from the causes and on the date stated above.
Date signed: 03 July 1951
Address: Hindman, Ky.
Signature: D. G. Barker, M.D.
Burial, Cremation or Removal: Burial
Date: 14 April 1951
Name of Cemetery or Crematory: Family Cemetery
Location: Pippapass, Knott, Ky.
Date received by local registrar: 03 July 1951
Registrar's Signature: Rose B. Craft
Funeral director & address: John N. Taul, Hindman, Ky.
Transcribed by Debbie Tamborski, 19 January 2011 |