Date:    24 January 1948
Cert:    21282 
Place of Death: County: Knott  City or Town: Garner, Ky. Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky  County: Knott
City or Town:  Garner     Rural 
Full Name:  Elma Vivanine GIBSON 
If Veteran Name War: (blank)
Social Security No.:  (blank)
Sex, Color or Race, Marital Status: Female, White, Single
Husband or Wife of:  Infant
Age of husband or wife if alive: (blank)
Birth date of deceased:  12 May 1947 
Age: 08 months, 12 days
Birthplace:  Garner, Ky. 
Occupation:  None 
Industry or business:  (blank)
Father Name:  Clinton GIBSON 
Father Birthplace:  Mousie, Ky. 
Mother Maiden Name:   Dellie MOSLEY 
Mother Birthplace:   Garner, Ky. 
Informant:   Dellie GIBSON, Garner, Ky. 
Burial Place:   Garner, Ky. 
Date:  26 January 1948 
Signature of funeral director:  Friends, Garner, Ky.
Date received by local registrar:  30 October 1948 
Registrar's Signature:  Rose B. Craft
Date of Death:  24 January 1948 
I hereby certify that I attended deceased from (blank) to (blank), that I last saw him alive on (blank), and that death occurred on the date stated above at (blank)
Immediate cause of death:  Chronic Dysentery 
Duration: (blank)
Due to:  (blank)
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 & Address:  Dr. M. M. Collins, M.D., Lackey, Ky.
Date signed:  28 October 1948 
Transcribed by Debbie Tamborski, 24 December 2010