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DEATH
CERTIFICATE
MARY MAGDELINE GIBSON
Date 04 July 1938
Cert: 20234
Name: Mary Magdeline GIBSON
Place of Death: Vot Pct. Upper Jones Fork #11, Knott Co., KY
Residence: Mousie, Ky.
Length of residence: (blank)
Female, White, Infant
Husband or Wife of: (blank)
Birth Date: 03 July 1938
Age: 9 hours
Occupation: (blank)
Place of Birth: Knott Co., Ky.
Name of Father: Troy GIBSON
Birthplace Father: Knott Co., Ky.
Maiden Name of Mother: Lula COX
Birthplace Mother: Knott Co., Ky.
Informant: Mrs. Troy GIBSON, Mousie, Ky.
Death Date: 04 July 1938
Cause of Death: Prematurity asphyxia during birth
Signed: W. E. Nichols, M.D., Wayland, Ky.
Burial Place: (blank)
Date of Burial: 04 July 1938
Undertaker: Family, Mousie, Ky.
File Date: 05 August 1938
Registrar: J. F. Combs
Transcribed by Debbie Tamborski, 28 October 2009 |
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