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DEATH
CERTIFICATE
RELDA GIBSON
Date 12 October 1938
Cert: 10407
Name: Relda GIBSON
Place of Death: Voting Pct. Lower Jones Fork #19, Stumbo
Memorial Hospital, Knott Co., KY
Residence: Mousie, Ky.
Length of residence: (blank)
Female, White
Husband or Wife of: Infant
Birth Date: 09 March 1936
Age: 02 years, 07 months, 03 days
Occupation: (blank)
Place of Birth: Mousie, Ky.
Name of Father: Aldo GIBSON
Birthplace Father: Mousie, Ky.
Maiden Name of Mother: Ada CAMPBELL
Birthplace Mother: Mousie, Ky.
Informant: Aldo GIBSON, Mousie, Ky.
Death Date: 12 October 1938
Cause of Death: Laryngeal diphtheria
Signed: E. J. Hall, M.D., Lackey, Ky.
Burial Place: Mousie, Ky.
Date of Burial: 13 October 1938
Undertaker: Father, Mousie, Ky.
File Date: 20 February 1940
Registrar: Macie Miller
Transcribed by Debbie Tamborski, 28 October 2009 |
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