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DEATH
CERTIFICATE
MORNING GIBSON
Date 10 November 1918
Cert: 01739
Place of Death: Voting Precinct: Upper Rock House,
Democrat P.O., Letcher Co., Ky.
Full Name: Morning GIBSON
Sex, Color or Race, Marital Status: Female, White,
Single
Date of Birth: 14 September 1912 (transcribed as
written)
Age: 16 years, 01 months, 26 days
Occupation: House keeper
Birthplace: Knott Co., Ky.
Name of Father: John R. GIBSON
Birthplace Father: Va.
Maiden name of Mother: Lucinda GIBSON (GIBSON)
Birthplace Mother: Knott Co., Ky.
Informant/Address: Elbert GIBSON, Democrat, Ky.
Filed: 15 November 1918
Registrar: Geo Hammons
Death Date: 10 November 1918
I hereby certify that I attended deceased from 10 November
1918, to
1918, that I last saw h-- alive on 10 November 1918, and that
death occurred, on the date stated above, at 4 p.m.
Cause of Death: Pneumonia Lobar Pneumonia
Duration: 06 days
Contributory: Influenza
Duration: 10 days
Signed/Address: T. A. Cook, M.D., 11
November 1918, Democrat, Ky.
Length of residence where disease contracted: (blank)
Former or usual residence: (blank)
Place of Burial or Removal: W. M. Amburgy
Date of Burial: 12 November 1918
Undertaker/Address: W. M. Amburgy, Omaha, Ky.
Transcribed by Debbie Tamborski, 28 February 2010 |
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