Missouri State Board of Health, Bureau of Vital Statistics, Certificate of Death #12983. Found on GunsInternational.com (watermark visible), paired with Vaughan Gun Affidavit (1965).
Transcription
MISSOURI STATE BOARD OF HEALTH BUREAU OF VITAL STATISTICS CERTIFICATE OF DEATH
No. 12983
1. PLACE OF DEATH
- County: Jackson
- Township: Ft. Osage
- Registration District No.: 326
- Primary Registration District No.: 3552
- Registered No.: 9
FULL NAME: Joseph Gibson Vaughan
PERSONAL AND STATISTICAL PARTICULARS
- 3. Sex: Male
-
- Color or Race: White
-
-
- Date of Birth: August 5, 1839
- (Month) (Day) (Year)
-
- Age: 78 y. 7 m. 19 d.
-
- Occupation: Farmer
- (a) [General nature]: Retired
-
- Birthplace: Missouri
-
- Father: Albert Vaughan
-
- Birthplace of Father: Virginia
-
- Maiden name of Mother: [partial: Miss] Gibson
-
- Birthplace of Mother: N.K. [not known]
MEDICAL CERTIFICATE OF DEATH
- 10. Date of Death: April 24, 1918
-
- I hereby certify that I attended deceased from Feb 13, 1918 [to] April 24, 1918
- that I last saw [partial: h-] alive on April 23, 1918
- and that death occurred on the date stated above
- The cause of death was as follows: Cirrhosis of Liver
- Duration: 1 [partial: yr]
- Contributory: X [none listed]
- (Signed) John M. Blanton, M.D.
- Address: Buckner, Mo.
- The above is true to the best of my knowledge
- (Informant) Elsie Maloney
- (Address) Kingsville, Mo.
Filed May 18, 1918 [partial: Recorder]
- Place of Burial or Removal: Oak [partial: Grove] Cem[etery]
- Date: April 26, 1918
- Undertaker: Chas. Heathman
- Address: Buckner, Mo.
Extracted Facts
| Fact | Value | Confidence |
|---|---|---|
| Full name | Joseph Gibson Vaughan | High |
| Date of death | April 24, 1918 | High (primary source) |
| Date of birth | August 5, 1839 | High (primary source) |
| Age at death | 78 years, 7 months, 19 days | High |
| Marital status | Widower | High |
| Occupation | Farmer (retired) | High |
| Birthplace | Missouri | High |
| Father's name | Albert Vaughan | High |
| Father's birthplace | Virginia | High |
| Mother's maiden name | Gibson | High |
| Mother's birthplace | Not known (to informant) | High |
| Cause of death | Cirrhosis of Liver | High |
| Duration of illness | ~1 year | High |
| Attending physician | John M. Blanton, M.D., Buckner, MO | High |
| Informant | Elsie Maloney, Kingsville, MO | High |
| Informant identity | Daughter: Elsie May Vaughan Maloney (1889-1964) | High |
| County of death | Jackson County, MO | High |
| Township | Fort Osage | High |
| Burial place | Oak Grove Cemetery | High |
| Burial date | April 26, 1918 | High |
| Undertaker | Chas. Heathman, Buckner, MO | High |
Notes
- This is a primary source document, the most authoritative record for Joseph Gibson Vaughan's vital dates and parentage.
- Death date confirmed as April 24, 1918. Son Samuel's 1965 affidavit (Vaughan Gun Affidavit (1965)) said April 20, written 47 years later; the death certificate is definitive.
- Father listed as "Albert Vaughan" (not "George Albert"), birthplace Virginia. This confirms Find a Grave #69396081 (George Albert Vaughan, 1812, Virginia). The dropped "George" is consistent with informal naming or the informant (daughter Elsie) not knowing the full given name.
- Mother's maiden name "Gibson" confirmed; birthplace unknown to informant. Find a Grave #159635575 says Minerva Gibson was born in Tennessee.
- Informant Elsie Maloney is daughter Elsie May Vaughan Maloney (1889-1964, FaG #32299789), of Kingsville, Johnson County, MO.
- Physician John M. Blanton attended Joseph from Feb 13 to April 24, 1918, and last saw him alive April 23. Death occurred at home (no hospital listed).
- Fort Osage Township in eastern Jackson County encompasses Buckner and surrounding area, consistent with all other Vaughan family records.
- Watermark from GunsInternational.com, same provenance as the gun affidavit.