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DEATH
CERTIFICATE
DORIS HAROLD GIBSON
Date 24 July 1938
Cert: 27888
Name: Doris Harold GIBSON
Place of Death: Voting Pct. Upper Jones Fork,
Mousie, Knott Co., KY
Residence: Mousie
Length of residence: 6 months
Male, White, Single
Husband or Wife of: (blank)
Birth Date: 20 October 1937
Age: 09 months, 22 days
Occupation: (blank)
Place of Birth: Raven, Ky.
Name of Father: Russell GIBSON
Birthplace Father: Mousie, Ky.
Maiden Name of Mother: Edna Lee REYNOLDS
Birthplace Mother: Raven, Ky.
Informant: Mrs. Russell GIBSON, Mousie, Ky.
Death Date: 24 July 1938
Cause of Death: Barillary dysentery Contributory:
Dehydration
Signed: Harry Dillard, M.D., Wayland, Ky.
Burial Place: Mousie, Ky.
Date of Burial: 24 July 1938
Undertaker: (blank)
File Date: 18 November 1938
Registrar: J. F. Combs
Transcribed by Debbie Tamborski, 28 October 2009 |
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