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DEATH
CERTIFICATE
VENICE GIBSON
Date 11 May 1943
Cert: 10749
Place of Death: County: Floyd City or Town:
Martin
Hospital or Institution: Martin General Hosp.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Floyd
City or Town: Melvin
Full Name: Venice GIBSON
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of: Willis GIBSON
Age of husband or wife if alive: 23 years
Birth date of deceased: 26 February 1922
Age: 21 years, 02 months, 15 days
Birthplace: Knott Co., Ky.
Occupation: (blank)
Industry or business: (blank)
Father Name: Melvin HOLBROOK
Father Birthplace: Letcher Co., Ky.
Mother Maiden Name: Lena HALL
Mother Birthplace: Letcher Co., Ky.
Informant: Willis GIBSON, Melvin, Ky.
Burial Place: Kite, Ky.
Date: 14 May 1943
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar: 14 May 1943
Registrar's Signature: Winifred Norris
Date of Death: 11 May 1943
I hereby certify that I attended deceased from 08 May 1943 to
11 May 1943, that I last saw her alive on 11 May 1943, and
that death occurred on the date stated above at 7:40 a.m.
Immediate cause of death: Puerperal sepsis
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: Edward R. Cadden, M.D., Martin
Date signed: (blank)
Transcribed by Debbie Tamborski, 31 May 2010 |
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