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DEATH
CERTIFICATE
JASPER GIBSON
Date: 12 July 1952
Cert: 15286
Place of Death: County: Letcher City or Town:
Whitesburg
Length of stay (in this place): (blank)
Street Address or Location: Home
Usual Residence of Deceased: State: Ky. County:
Letcher
City or Town: Whitesburg
Street Address: Home
Full Name: Jasper GIBSON
Date of Death: 12 July 1952
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 04 June 1900
Age: 52 years
Usual Occupation: Laborer
Kind of Industry or business: (blank)
Birthplace: Knott Co., Ky.
Father's Name: Davey GIBSON
Mother's Maiden Name: Canelia COLLINS
Was deceased ever in armed forces: (blank)
Social Security No.: 405-10-3113
Informant: Mrs. Nancy GIBSON - wife
Disease/condition directly leading to death: Cardiac
Thrombosis
Interval between onset and death: 01 hour
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: no
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw the deceased alive on (blank), and
that death occurred at 6:30 p.m., from the causes and on the
date stated above.
Date signed: 14 July 1952
Address: Whitesburg, Ky.
Signature: Mrs. Archie Craft, Coroner
Burial, Cremation or Removal: Burial
Date: 15 July 1952
Name of Cemetery or Crematory: Collins Cemetery
Location: Beaver Dam, Ky.
Date received by local registrar: 14 July 1952
Registrar's Signature: G. W. Collins
Funeral director & address: Archie Craft, Whitesburg
Transcribed by Debbie Tamborski, 11 August 2010 |
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