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DEATH
CERTIFICATE
LEONARD GIBSON
Date: 10 November 1949
Cert: 26991
Place of Death: County: Floyd City or Town:
Wayland, Ky.
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Kentucky County:
Floyd
City or Town: Wayland, Ky. Street Address: (blank)
Full Name: Leonard GIBSON
Date of Death: 10 November 1949
Sex, Color or Race, Marital Status: Male, White, Widowed
Date of Birth: 19 November 1865
Age: 83 years
Usual Occupation: Farmer
Kind of Industry or business: (blank)
Birthplace: Knott Co., Kentucky
Father's Name: Miles GIBSON
Mother's Maiden Name: Susan HOLBROOK
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Hasadore GIBSON
Disease or condition directly leading to death:
Pneumonia
Interval between onset and death: (blank)
Due to (b): General debility
Due to (c): unable to move in bed
Other significant conditions: Prostatitis
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
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 04 November
1949 to 10 November 1949, that I last saw the deceased alive
on 10 November 1949, and that death occurred at 1:30 p.m.,
from the causes and on the date stated above.
Date signed: 20 December 1949
Address: Garrett, Ky.
Signature: C. B. Ison, M.D.
Burial, Cremation or Removal: Burial
Date: 13 November 1949
Name of Cemetery or Crematory: Turner Cemetery
Location: Dema, Knott County, Ky.
Date received by local registrar: 11 January 1950
Registrar's Signature: Lucy Ransdell
Funeral director & address: G. D. Ryan, Martin, Ky.
Transcribed by Debbie Tamborski, 12 July 2010 |
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