DEATH CERTIFICATE

MALISSIE GIBSON

Date   26 May 1918
Cert: # 42791
Name:  Malissie GIBSON
Female, White, Married                                                        Age: 70 years, months, days
Place of Death: Voting Precinct #7, Caney, Knott Co., KY
Birth Date:  1848
Occupation:  Housewife
Place of Birth:  Hancock Co., Tenn.
Name of Father:  Perry COLLINS  
Birthplace Father:  Tenn.
Maiden Name of Mother:  Ana BOLEN
Birthplace Mother:  Tenn.
Informant:  Burdine (his X mark) GIBSON, Hollybush, Ky.
Death Date:  26 May 1918 
Cause of Death:  (blank)
Signed:  (blank)
Burial Place:  Burgey Cemetery
Date of Burial: 27 May 1918
Undertaker:  Burdine (his X mark) Gibson, Hollybush, Ky.
File Date:  28 May 1918
Transcribed by Debbie Tamborski, 09 November 2008