Date: 27 December 1948
Cert: 27697
Place of Death: County: Knott City or Town: Amburgey, Ky.
Length of stay (in this place): (blank)
Street Address or Location: Rural
Usual Residence of Deceased: State: Kentucky County:
Knott
City or Town: Amburgey Rural
Full Name: Thresa Ann GIPSON
Date of Death: 27 December 1948
Sex, Color/Race, Marital Status: Female, White, Never Married
Date of Birth: 27 December 1948
Age: 15 minutes
Usual Occupation: None
Kind of Industry or business: None
Birthplace: Amburgey, Ky.
Father's Name: James B. GIPSON
Mother's Maiden Name: Francis BELCHER
Was deceased ever in armed forces: No
Social Security No.: None
Informant: Parents
Disease or condition directly leading to death:
Atalectasis
Interval between onset and death: (blank)
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 27 December
1948 to 27 December 1948, that I last saw the deceased alive
on 27 December 1948, and that death occurred at 10 p.m., from
the causes and on the date stated above.
Date signed: 21 February 1949
Address: Kodak
Signature: H. P. Duff, M.D.
Burial, Cremation or Removal: Burial
Date: 28 December 1948
Name of Cemetery or Crematory: Gibson
Location: Amburgey, Knott Co., Ky.
Date received by local registrar: 23 February 1949
Registrar's Signature: Rose B. Craft
Funeral director & address: Friends, Amburgey, Ky.
Transcribed by Debbie Tamborski, 27 December 2010 |