Date: 18 March 1951
Cert: 05495
Place of Death: County: Knott
City or Town: Rural
Length of stay (in this place): All of life
Street address or location: Bath, Ky.
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural If rural give
precinct: Bath, Ky.
Full Name: Judy Karen GIBSON
Date of Death: 18 March 1951
Sex, Color/ Race, Marital Status: Female, White, Never Married
Date of Birth: 13 March 1947
Age: 04 years
Usual Occupation: None
Kind of Industry or business: None
Birthplace: Knott County, Ky.
Father's Name: Mallie GIBSON
Mother's Maiden Name: Tishie HAMMONDS
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Mallie GIBSON
Disease or condition directly leading to death: Severe
Vomiting
Interval between onset and death: (blank)
Due to: May have been green diarrhea
Other significant conditions: Parents were taking this child
to hosp. but she died enroute
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 (blank), from the causes and on the
date stated above.
Date signed: 21 March 1951
Address: Hindman, Ky.
Signature: J. W. Duke, M.D.
Burial, Cremation or Removal: Burial
Date: 20 March 1951
Name of Cemetery or Crematory: Family Cemetery
Location: Bath, Knott, Ky.
Date received by local registrar: 30 March 1951
Registrar's Signature: Rose B. Craft
Funeral director & address: John N. Taul (Director),
Hindman, Ky., Hindman Funeral Home
Transcribed by Debbie Tamborski, 19 January 2011 |