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DEATH
CERTIFICATE
ELI HICKS
Date 21 October 1919
Cert: # 28043
Name: Eli HICKS
Male, White, Married
Age: 30 years, 06 months, 21 days
Place of Death: Vot. Prec. Jones Fork, Mousie, Knott Co., KY
Birth Date: 01 March 1889
Occupation: Farmer & miner
Place of Birth: Lackey, Ky.
Name of Father: Jim HICKS
Birthplace Father: Lackey, Ky.
Maiden Name of Mother: Francis MOSLEY
Birthplace Mother: Perry Co., Ky.
Informant: John HICKS, Lackey, Ky.
Death Date: 21 October 1919
Cause of Death: Abcess & necrosis of leg resulted in
gangrene & death
Signed: N. N. Collins, M.D.
Burial Place: Dow Conley Cemetery
Date of Burial: 22 October 1919
Undertaker: Johney Hicks, Mousie, Ky.
File Date: 25 October 1919
Transcribed by Debbie Tamborski, 11 November 2008 |
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