Date:    12 December 1944
Cert:    01591 
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, Ky. Rural 
Full Name:  Juanita GIBSON 
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status:  Female, White, Single
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:   28 May 1937 
Age:  07 years, 06 months, 14 days
Birthplace:  Garner, Ky. 
Occupation:  None 
Industry or business: "
Father Name:   Clinton MOORE 
Father Birthplace:   Knott Co., Ky. 
Mother Maiden Name:   Dellie MOSLEY 
Mother Birthplace:  Garner, Ky. 
Informant:   Dellie MOSLEY (GIBSON), Garner, Ky. 
Burial Place:   Garner 
Date:   14 December 1944 
Signature of funeral director:  Friends, Garner, Ky.
Date received by local registrar:  20 January 1945 
Registrar's Signature: Ida Livingston Rose B. Craft Acting L.R.
Date of Death:  12 December 1944 
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 1 p.m.
Immediate cause of death:  Inhaled flames Clothing ignited from burning grass 
Duration: (blank)
Due to:  Small brother set fire to dry grass & leaves
Major findings of operations: (blank)
Accident, suicide, or homicide: accident
Date of occurrence: 12 December 1944
Where did injury occur: In field near home
While at work:  No
Means of injury:  Fire
Signature & Address:  J. W. Duke, M.D., Hindman, Ky. 
Date signed:  20 January 1945 
Transcribed by Debbie Tamborski, 12 November 2010