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DEATH
CERTIFICATE
ELIZA JASPEL HICKS
Date: 20 March 1947
Cert: 10729
Place of Death: County: Floyd City or Town:
Garrett
Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Floyd
City or Town: Garrett, Ky.
Full Name: Eliza Jaspel HICKS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Widowed
Husband or Wife of: Hence HICKS
Age of husband or wife if alive: Dead - 60 years
Birth date of deceased: Don't known
Age: 69 years
Birthplace: Knott Co.
Occupation: Domestic
Industry or business: (blank)
Father Name: John CHAFFINS
Father Birthplace: Knott Co.
Mother Maiden Name: Mary WICKER
Mother Birthplace: Floyd Co.
Informant: Frank CLICK, Mousie, Ky.
Burial Place: Garrett
Date: 21 March 1947
Signature of funeral director: G. D. Ryan, Martin, Ky.
Date received by local registrar: 07 May 1947
Registrar's Signature: Lucy Ransdell
Date of Death: 20 March 1947
I hereby certify that I attended deceased from 20 March 1947 to
20 March 1947, that I last saw him alive on 20 March 1947, and
that death occurred on the date stated above at 6 a.m.
Immediate cause of death: Found dead probably heart
failure
Duration: (blank)
Due to: (blank)
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 & Address: C. B. Isom, M.D., Garrett, Ky.
Date signed: 28 April 1947
Transcribed by Debbie Tamborski, 23 June 2010 |
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