DEATH CERTIFICATE

JESS GIBSON

Date:    04 August 1947
Cert:    20403 
Place of Death: County: Knott   City or Town: Pippapass, Ky.
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.     County:  Knott
City or Town:  Pippapass 
Full Name:  Jess GIBSON 
If Veteran Name War: (blank)
Social Security No.:  (blank)
Sex, Color or Race, Marital Status:  Male, White, Married
Husband or Wife of:  Dora B. GIBSON
Age of husband or wife if alive: 70 years
Birth date of deceased:   Don't know 
Age:  72 years
Birthplace:  Raven (Knott Co.) 
Occupation:  Farmer 
Industry or business:  (blank)
Father Name:  Hiram GIBSON 
Father Birthplace:  Raven, Ky. 
Mother Maiden Name:  Margrett HOLBROOK 
Mother Birthplace:   Raven 
Informant:   Odus GIBSON, Raven 
Burial Place:   Raven 
Date:  06 August 1947 
Signature of funeral director:  G. D. Ryan, Martin, Ky.
Date received by local registrar:  13 September 1947 
Registrar's Signature:  Rose B. Craft
Date of Death:  04 August 1947 
I hereby certify that I attended deceased from 04 July 1947 to 04 August 1947, that I last saw him alive on 04 August 1947, and that death occurred on the date stated above at 1 a.m.
Immediate cause of death:  Pneumonia 
Duration: (blank)
Due to:  Paralysis
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:  J. W. Duke, M.D., Hindman, Ky.
Date signed:  13 September 1947 
Transcribed by Debbie Tamborski, 17 December 2010