DEATH CERTIFICATE
MARGRATE GIPSON

Date    17 August 1911
Death Vol:   1911
Cert: #  27280
Name:  Margrate GIPSON
Female, White, Single
Age:  2 years, 4 months
Place of Death: Voting Pct. Lost Creek, Perry Co., KY
Birth Date:  00 March 1909
Place of Birth:  Perry
Father:  Buddy GIPSON                                                   Birthplace Father:  Scott Co., Va.
Mother:  Mariah NEACE                                                     Birthplace Mother:  Perry Co.
Informant:  Buddy GIPSON
Death Date:  17 August 1911
Cause of Death:  Scarlet fever and membranial coup
Signed:  Buddy Gipson, Father of child
Burial Place:  Lost Creek
Undertaker:  Buddy Gipson, Father of child
File Date:  18 November 1911
Transcribed by Debbie Tamborski, 24 June 2008