Date: 01 February 1945
Cert: 03968
Place of Death: County: Knott City or
Town: Rural
Street Number or Location: Home, Sassafras, Ky.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural If rural give
precinct: Sassafras, Ky.
Full Name: Mary Louise GIBSON
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: George B. GIBSON
Age of husband or wife if alive: 25 years
Birth date of deceased: 13 June 1920
Age: 24 years, 07 months, 18 days
Birthplace: Perry Co., Ky.
Occupation: House wife
Industry or business: (blank)
Father Name: Mack MORGAN
Father Birthplace: Leslie County
Mother Maiden Name: Syler HOSKINS
Mother Birthplace: Leslie
Informant: George B. GIBSON, Anco, Ky.
Burial Place: Englewood
Date: 04 February 1945
Signature of funeral director: Maggard's, Hazard, Ky.
Date received by local registrar: 05 February 1945
Registrar's Signature: Ida Livingston Rose B. Craft
Acting L. R.
Date of Death: 01 February 1945
I hereby certify that I attended deceased from 17 December
1944 to
01 February 1945, that I last saw him alive on 01 February
1945, and that death
occurred on the date stated above at (blank)
Immediate cause of death: Pulmonary Tuberculosis
Duration: Several months
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: Chas. D. Snyder, M.D., Hazard,
Ky.
Date signed: 06 February 1945
Transcribed by Debbie Tamborski, 27 November 2010 |