DEATH CERTIFICATE

ELLEN GIBSON

Date  21 August 1920
Cert: #  20808 
Name:  Ellen GIBSON
Place of Death: Voting Pct. #8, Knott Co., KY
Female, White, Child
Birth Date:  18 August 1920 
Age: 04 days
Occupation:  (blank)
Place of Birth:  Ky.
Name of Father:  Henry GIBSON 
Birthplace Father:  Ky. 
Maiden Name of Mother:  Alice BOLEYN
Birthplace Mother:  Ky. 
Informant:  Nathan GIBSON, Garrett, Ky.
Death Date:  21 August 1920 
Cause of Death:  Croup 
Signed:  Henry Gibson
Burial Place:  Boleyn Cemetery 
Date of Burial:  23 August 1920 
Undertaker:  J. M. Boleyn, Garrett, Ky. 
File Date:  21 August 1920 
Transcribed by Debbie Tamborski, 04 January 2009