DEATH
CERTIFICATE
MINNIE GIBSON
Date 28 June 1923
Cert: 27245
Place of Death: County: City or Town: Floyd Co., Wayland
Name of hospital or institution: at the home of J. W. Campbell
Length of stay in hospital or community: 02 years
Usual Residence of Deceased: State: Ky. County: Floyd
City or Town: Wayland
Full Name: Minnie GIBSON
If Veteran Name War: No
Social Security No.: None
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of: Alga GIBSON
Age of husband or wife if alive: (illegible)
Birth date of deceased: Don't know 1900
Age: 23 years
Birthplace: Knott
Occupation: Housekeeping
Industry or business: Farmer
Father Name: (illegible looks like Eli--- WALLEN)
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Elvary COLLINS
Mother Birthplace: Floyd Co.
Informant: Na--- CAMPBELL, (illegible), Ky.
Burial Place: Dema
Date: 30 June 1923
Signature of funeral director: not any
Date received by local registrar: 05 May 1952 (marked
delay)
Registrar's Signature: Lucy Ransdell
Date of Death: 28 June 1923
I hereby certify that I attended deceased from 1922 to 28 June
1923, that I last saw him alive on (blank), and that death
occurred on the date stated above at 9 a.m.
Immediate cause of death: (illegible looks like may be
Cancer)
Due to: Cancer
Major findings of operations: None
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature: M. ?. Wicker, M.D., Wayland
Date signed: 02 May 1952
Transcribed by Debbie Tamborski, 19 March 2010 |
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