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DEATH
CERTIFICATE
DANIEL B. HICKS
Date: 12 April 1949
Cert: 09223
Place of Death: County: Floyd City or Town:
Wayland
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky. County:
Floyd
City or Town: Wayland Street Address: (blank)
Full Name: Daniel B. HICKS
Date of Death: 12 April 1949
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 21 May 1897
Age: 51 years
Usual Occupation: (blank)
Kind of Industry or business: Mine (coal)
Birthplace: Knott Co., Ky.
Father's Name: John A. HICKS
Mother's Maiden Name: Lizzie GUNNELS
Was deceased ever in armed forces: Yes, WW#1
Social Security No.: (blank)
Informant: Joe HICKS
Disease/condition directly leading to death: Coronary
Embolism
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 (blank) to
(blank), that I last saw the deceased alive on (blank), and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: 13 April 1949
Address: Martin, Ky.
Signature: G. D. Ryan, Embalmer
Burial, Cremation or Removal: Burial
Date: 14 April 1949
Name of Cemetery or Crematory: Allen Cemetery
Location: Eastern, Ky.
Date received by local registrar: 21 April 1949
Registrar's Signature: Lucy Ransdell
Funeral director & address: W. J. Ryan, Martin, Ky.
Transcribed by Debbie Tamborski, 12 July 2010 |
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