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DEATH
CERTIFICATE
WAYNE V. GIBSON
Date: 26 June 1945
Cert: 14470
Place of Death: County: Floyd City or Town:
Lackey
Street No. or Location: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Floyd
City or Town: Lackey
Full Name: Wayne V. GIBSON
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Bonnie GIBSON
Age of husband or wife if alive: 24 years
Birth date of deceased: 26 February
Age: 30 years
Birthplace: Knott Co., Ky.
Occupation: Mechanic (auto)
Industry or business: (blank)
Father Name: John L. GIBSON
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Maude RAMEY
Mother Birthplace: Knott Co., Ky.
Informant: Bonnie GIBSON, Lackey, Ky.
Burial Place: Wayland, Ky.
Date: 29 July 1945 [sic]
Signature of funeral director: G. D. Ryan, Martin, Ky.
Date received by local registrar: 13 July 1945
Registrar's Signature: Lucy Ramsdell
Date of Death: 26 June 1945
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at 11 p.m.
Immediate cause of death: Brain Injury
Duration: (blank)
Due to: Gunshot
Major findings of operations: (blank)
Accident, suicide, or homicide: Accident
Date of occurrence: 26 June 1945
Where did injury occur: Home
While at work: No
Means of injury: Revolver
Signature & Address: G. D. Ryan (Embalmer), Martin,
Ky.
Date signed: (blank)
Transcribed by Debbie Tamborski, 05 June 2010 |
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