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DEATH
CERTIFICATE
LUCAS GIBSON
Date: 15 April 1946
Cert: 12919
Place of Death: County: Floyd City or Town:
Lackey
Street No. or Location: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Floyd
City or Town: Lackey
Full Name: Lucas GIBSON
If Veteran Name War: (blank)
Social Security No.: 401-18-4838
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Edna GIBSON
Age of husband or wife if alive: 31 years
Birth date of deceased: 12 August 1918
Age: 28 years, 08 months
Birthplace: Knott Co., Ky.
Occupation: repair man at mines
Industry or business: (blank)
Father Name: Matt GIBSON
Father Birthplace: Hindman, Ky.
Mother Maiden Name: Lizzie CONLEY
Mother Birthplace: Hueysville, Ky.
Informant: Matt GIBSON, Lackey, Ky.
Burial Place: Lackey, Ky.
Date: 17 April 1946
Signature of funeral director: Ryan Funeral Home, Martin, Ky.
Date received by local registrar: 25 June 1946
Registrar's Signature: Lucy Ramsdell
Date of Death: 15 April 1946
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 (blank)
Immediate cause of death: telephone pole broke, falling
on victim killing him instantly
Duration: (blank)
Due to: Crushed skull
Major findings of operations: (blank)
Accident, suicide, or homicide: accident
Date of occurrence: 15 April 1946
Where did injury occur: industrial place
While at work: yes
Means of injury: crushed skull
Signature & Address: Marvin Ramsdell, MD,
Prestonsburg, Ky.
Date signed: 28 June 1946
Transcribed by Debbie Tamborski, 09 June 2010 |
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