Date: 15 April 1946
Cert: 11629
Place of Death: County: Knott City or
Town: Lackey
Name of Hospital or Institution: Stumbo Mem. Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Lackey
Full Name: Lucias GIBSON
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White,
Married
Husband or Wife of: Etta GIBSON
Age of husband or wife if alive: 38 years
Birth date of deceased: (blank)
Age: 26 years
Birthplace: Knott Co., Ky.
Occupation: Electrician
Industry or business: (blank)
Father Name: Mont GIBSON
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Lizzie CONLEY
Mother Birthplace: Floyd Co., Ky.
Informant: Mont GIBSON, Lackey, Ky.
Burial Place: Lackey, Ky.
Date: 17 April 1946
Signature of funeral director: G. D. Ryan, Martin, Ky.
Date received by local registrar: 16 May 1946
Registrar's Signature: Mrs. Rose B. Craft
Date of Death: 15 April 1946
I hereby certify that I attended deceased from 15 April 1946 to
15 April 1946, that I last saw him alive on Dead 15 April 1946, and that death
occurred on the date stated above at (blank)
Immediate cause of death: Electrical accidental death
Duration: (blank)
Due to: Wire contact
Major findings of operations: (blank)
Accident, suicide, or homicide: accident
Date of occurrence: 15 April 1946
Where did injury occur: Lackey, Ky.
While at work: Yes
Means of injury: (blank)
Signature & Address: A. P. Hodge, Lackey, Ky.
Date signed: 14 May 1946
Transcribed by Debbie Tamborski, 07 December 2010 |