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DEATH
CERTIFICATE
NORA ELIZABETH GIBSON
Date 12 July 1926
Cert: 16788
Place of Death: Vot Precinct Union Star, Breckinridge
Co., Ky.
Full Name: Nora Elizabeth GIBSON
Sex, Color or Race, Marital Status: Female, White,
Single
Date of Birth: 16 November 1899
Age: 36 years, 07 months, 26 days
Occupation: Teaching
Birthplace: Mousie, Ky.
Name of Father: John M. GIBSON
Birthplace Father: Mousie, Ky.
Maiden name of Mother: (blank)
Birthplace Mother: Hindman
Informant/Address: Martin GIBSON, Mousie, Ky.
Filed: 13 July 1926
Registrar: Lee Stewart
Death Date: 12 July 1926
I hereby certify that I attended deceased from 09 March 1926, to
12 July 1926, that I last saw her alive on 12 July 1926, and
that death occurred, on the date stated above, at 10:20 p.m.
Cause of Death: Chronic parenchymatous nephritis
Duration: 09 months
Contributory: Exposure and nerve strain Duration:
04 years
Signed/Address: Wm. L. Miluer, MD, 12 July 1926, Union Star
Length of residence where disease contracted: (blank)
Former or usual residence: (blank)
Place of Burial or Removal: Mousie, Ky.
Date of Burial: 15 July 1926
Undertaker/Address: M. (illegible) Son, Cloverport, Ky.
Transcribed by Debbie Tamborski, 21 March 2010 |
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