Date:    22 January 1946
Cert:    09429 
Place of Death: County: Knott  City or Town: Lackey, Ky.  Rural
Name of Hospital or Institution: Stumbo Memo. Hosp.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.     County:  Knott
City or Town:  Mousie     Rural 
Full Name:  Glen E. GIBSON 
If Veteran Name War: (blank)
Social Security No.:  (blank)
Sex, Color or Race, Marital Status:  Male, White, Single
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:   21 April 1929
Age:  16 years, 09 months, 01 days
Birthplace:  Knott 
Occupation:  (blank) 
Industry or business:  School
Father Name:  J. M. GIBSON 
Father Birthplace:  Knott Co. 
Mother Maiden Name:   Rebcca STURGILL 
Mother Birthplace:    Knott Co. 
Informant:  Samuel GIBSON, Mousie, Ky. 
Burial Place:   Mousie, Ky. 
Date:   25 January 1946 
Signature of funeral director:  G. D. Ryan, Martin, Ky.
Date received by local registrar:  24 April 1946 
Registrar's Signature:  Mrs. Rose B. Craft
Date of Death:  22 January 1946 
I hereby certify that I attended deceased from 21 January 1946 to 22 January 1946, that I last saw him alive on 22 January 1946, and that death occurred on the date stated above at 5:30 p.m.
Immediate cause of death:  Auto accident     Fractured skull 
Duration: (blank)
Due to:  Hemorrhage into the brain
Other conditions:  None
Accident, suicide, or homicide: Accidental
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work:  (blank)
Means of injury: (blank)
Signature & Address:  A. P. Hodge, M.D., Lackey, Ky.
Date signed:  23 April  
Transcribed by Debbie Tamborski, 07 December 2010