DEATH CERTIFICATE

JOHN R. GIPSON

Date  24 June 1922
Cert: #    13845
Name:  John R. GIPSON 
Place of Death: Voting Pct. #2, Knott Co., KY
Male, White
Birth Date:  19 January 1922 
Age:  05 months
Occupation:  (blank) 
Place of Birth:  Ky.
Name of Father:  Antoney GIPSON 
Birthplace Father:  Ky. 
Maiden Name of Mother:  Gracy GIPSON
Birthplace Mother:  Ky. 
Informant:  John R. GIPSON, Pine Top, Ky.
Death Date:  24 June 1922
Cause of Death:  Diyree [sic] 
Signed:  (blank)
Burial Place:  Martha Collins 
Date of Burial:  25 June 1922 
Undertaker:  (blank) 
File Date:  10 June 1922 
Transcribed by Debbie Tamborski, 04 January 2009