DEATH CERTIFICATE

LIZA GIBSON

Date   01 October 1935
Cert:  27726 
Name:  Liza GIBSON
Place of Death: Voting Pct. Rock Fork, Knott Co., KY
Residence:  (blank) 
Length of residence: (blank) 
Female, White
Husband or Wife of: (blank) 
Birth Date:  14 June 1935
Age: 03 months, 18 days
Occupation:  (blank) 
Place of Birth:  Knott Co., Ky.
Name of Father:  J. S. GIBSON
Birthplace Father:  Madison Co. 
Maiden Name of Mother:  Causby COLLINS
Birthplace Mother:  Wise Co., Va. 
Informant:  J. S. GIBSON, Bolyn, KY. 
Death Date:  01 October 1935 
Cause of Death:   Cerebraspinal meningitis  
Signed:  Mark Dempsey, M.D., Garrett, Ky.
Burial Place:  Noah Bolen Cem.
Date of Burial:  02 October 1935
Undertaker:  none
File Date:  29 November 1935
Transcribed by Debbie Tamborski, 12 August 2009