Date:    22 July 1947
Cert:    20401 
Place of Death: County: Knott   City or Town:  Rural-P. O. Box, Mousie, Ky.
Name of Hospital or Institution: At home
Length of stay in hospital or community: 02 months, 04 days
Usual Residence of Deceased: State: Kentucky   County: Knott
City or Town: Rural     If rural give precinct:  Upper Jones Fork 
Full Name:  Carmon HICKS 
If Veteran Name War: (blank)
Social Security No.:  (blank)
Sex, Color or Race, Marital Status:   Male, White, Single
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:  18 May 1947 
Age:  02 months, 04 days
Birthplace:  Mousie, Ky. 
Occupation:  None 
Industry or business:  (blank)
Father Name:  Oakley HICKS 
Father Birthplace:  Bolyn, Ky., Knott Co. 
Mother Maiden Name:   Dorothy BROWN 
Mother Birthplace:   Mousie, Ky., Knott Co. 
Informant:  Oakley HICKS, Mousie, Ky. 
Burial Place:   Bolyn, Ky., Knott Co. 
Date:  23 July 1947 
Signature of funeral director:  M. M. Chaffins, Garrett, Ky.
Date received by local registrar:  30 July 1947 
Registrar's Signature:  Rose B. Craft
Date of Death: 22 July 1947 
I hereby certify that I attended deceased from 22 July 1947 to 22 July 1947, that I last saw him alive on 22 July 1947, and that death occurred on the date stated above at 3:00 p.m.
Immediate cause of death:  Bean in Trachea (windpipe) 
Duration: 30 min.
Due to:  (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: Accident
Date of occurrence: 22 July 1947
Where did injury occur: In home
While at work:  (blank)
Means of injury: (blank)
Signature & Address:  Mark Dempsey, M.D., Garrett, Ky.
Date signed:  27 August 1947 
Transcribed by Debbie Tamborski, 18 December 2010