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DEATH
CERTIFICATE
E. K. HICKS
Date: 29 July 1953
Cert: 16177
Place of Death: County: Floyd City or Town:
Ligon
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky. County:
Floyd
City or Town: Ligon Street Address: (blank)
Full Name: E. K. HICKS
Date of Death: 29 July 1953
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 27 October 1917
Age: 35 years
Usual Occupation: Miner
Kind of Industry or business: Mining
Birthplace: Knott Co.
Father's Name: Fair HICKS
Mother's Maiden Name: Lula SPARKMAN
Was deceased ever in armed forces: (blank)
Social Security No.: 404-07-7281
Informant: Elsie HICKS
Disease/condition directly leading to death: Coronary
Occlusion
Interval between onset and death: Immediate
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: no
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: 06 August 1953
Address: Martin, Ky.
Signature: John J. Sherman, M.D., FDCS
Burial, Cremation or Removal: Burial
Date: 02 August 1953
Name of Cemetery or Crematory: Family
Location: Garrett, Ky.
Date received by local registrar: 14 August 1953
Registrar's Signature: Lucy Ransdell
Funeral director & address: Hall Bros., Martin, Ky.
Transcribed by Debbie Tamborski, 13 August 2010 |
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