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DEATH
CERTIFICATE
MERIT GIBSON
Date 17 November 1934
Cert: 28388
Name: Merit GIBSON
Place of Death: Vot. Pct. Upper Jones Fork 11, Knott Co., KY
Residence: (blank)
Length of residence: (blank)
Male, White, Single
Husband or Wife of: (blank)
Birth Date: 13 October 1934
Age: 00 years, 01 months, 04 days
Occupation: (blank)
Place of Birth: Knott Co., Ky.
Name of Father: Ezekiel GIBSON
Birthplace Father: Knott Co., Ky.
Maiden Name of Mother: Ada CONLEY
Birthplace Mother: Knott Co., Ky.
Informant: Ada CONLEY, Mousie, Ky.
Death Date: 17 November 1934
Cause of Death: Broncho Pneumonia Fever
Signed: Mark Dempsey, M.D., Garrett, Ky.
Burial Place: Martin Branch Cem.
Date of Burial: 17 November 1934
Undertaker: none
File Date: 29 November 1934
Transcribed by Debbie Tamborski, 17 July 2009
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