|
DEATH
CERTIFICATE
IRA GIBSON
Date 28 February 1920
Cert: 11463
Place of Death: Voting Precinct: Haymon, Letcher Co.,
Ky.
Full Name: Ira GIBSON
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: June 1886 [sic]
Age: 24 years, 09 days
Occupation: Miner, Elkhorn Cole Co.
Birthplace: Knott Co., Ky.
Name of Father: Davie GIBSON
Birthplace Father: Letcher Co., Ky.
Maiden name of Mother: Kanzio COLLINS
Birthplace Mother: Knott Co., Ky.
Informant/Address: Ada COLLINS GIBSON (illegible)
Davisburg, Ky.
Filed: (blank)
Registrar: (blank)
Death Date: 28 February 1920
I hereby certify that I attended deceased from (blank), to
(blank), that I last saw h-- alive on (blank), and that death
occurred, on the date stated above, at (blank)
Cause of Death: Complained of head
Duration: (blank)
Contributory: (blank)
Signed/Address: Ada Collins Gibson (illegible)
Length of residence at place of death: 08 days, 07
nights
Former or usual residence: (blank)
Place of Burial or Removal: Seco, Ky.
Date of Burial: 03 March 1920
Undertaker/Address: undertaker at Seco, Ky.
Transcribed by Debbie Tamborski, 06 March 2010 |
|