DEATH CERTIFICATE

CALEB HICKS

Date    24 October 1915
Deathvol Vol:   1915
Cert: #  24993
Name:  Caleb HICKS
Male, White, Single
Age:  32 years, 10 months, 15 days
Place of Death: Voting Pct. Jones Fork, Knott Co., KY
Birth Date:  15 January 1883                                     Occupation:  Farmer
Place of Birth:  Ky.
Father:  James HICKS                                                  Birthplace Father:  Ky.
Mother:  Frankie MOSELY                                                      Birthplace Mother:  Ky.
Informant:  (Blank)
Death Date:  24 October 1915
Cause of Death:  amoebic dysentery
Signed:  T. J. Chandler, M.D.
Burial Place:  Triplett Cemetery
Undertaker:  (Blank)
File Date: 09 November 1915
Transcribed by Debbie Tamborski, 03 August 2008