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DEATH
CERTIFICATE
ELIJAH HICKS
Date 13 January 1946
Cert: 02454
Place of Death: County: Perry City or Town: Hazard, Ky.
Name of Hospital or Institution: Hazard Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County: Knott
City or Town: Hindman
Full Name: Elijah HICKS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Lucinda HICKS
Age of husband or wife if alive: 66 years
Birth date of deceased: 22 October 1875
Age: 70 years, 02 months, 21 days
Birthplace: West, Ky.
Occupation: Merchant
Industry or business: (blank)
Father Name: Clayburn HICKS
Father Birthplace: North Carolina
Mother Maiden Name: Sarah BARRY
Mother Birthplace: Virginia
Informant: John HICKS, Hindman, Ky.
Burial Place: Hicks Cemetery
Date: 16 January 1946
Signature funeral director: Lawrence R. Townsend, Hazard, Ky.
Date received by local registrar: 15 January 1946
Registrar's Signature: Opsie J. Deaton
Date of Death: 13 January 1946
I hereby certify that I attended deceased from 28 December
1945 to 13 January 1946, that I last saw him alive on 13
January 1946, and that death occurred on the date stated above
at 4:35 p.m.
Immediate cause of death: Pneumonia Hypostat(illegible)
Duration: 17 days
Due to: Cholerzstat(illegible) chronic
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature: J. E. Hagan, M.D., Hazard, Ky.
Date signed: 15 January 1946
Transcribed by Debbie Tamborski, 10 February 2010 |
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