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DEATH
CERTIFICATE
RHODA GIBSON
Date: 05 August 1944
Cert: 18008
Place of Death: County: Floyd City or Town:
Langley
Street No. or Location: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Floyd
City or Town: Langley
Full Name: Rhoda GIBSON
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: Lenard GIBSON
Age of husband or wife if alive: 78 years
Birth date of deceased: 17 April 1870
Age: 74 years, 04 months
Birthplace: Knott Co., Ky.
Occupation: (blank)
Industry or business: (blank)
Father Name: Allen MARTIN
Father Birthplace: Rowan Co., Ky.
Mother Maiden Name: Roseanna SLONE
Mother Birthplace: Knott Co., Ky.
Informant: H. D. GIBSON, Wayland, Ky.
Burial Place: Wayland, Ky.
Date: 07 August 1944
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar: 26 August 1944
Registrar's Signature: Winifred Norris
Date of Death: 05 August 1944
I hereby certify that I attended deceased from 30 July 1944 to
04 August 1944, that I last saw him alive on 04 August 1944,
and that death occurred on the date stated above at 3:00 a.m.
Immediate cause of death: Coronary occlusion
Duration: (blank)
Due to: (blank)
Other conditions: cholecyslitis
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: J. A. Stumbo, M.D., Martin, Ky.
Date signed: 15 August 1944
Transcribed by Debbie Tamborski, 02 June 2010 |
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