Date: 14 September 1941
Cert: 22646
Place of Death: County: Knott City or
Town: Lackey, Ky.
Name of Hospital or Institution: Stumbo Mem. Hosp.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Floyd
City or Town: Estill, Ky.
Full Name: George HICKS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Sallie HICKS
Age of husband or wife if alive: (blank)
Birth date of deceased: 20 August 1885
Age: 56 years, 00 months, 24 days
Birthplace: (blank)
Occupation: Farming
Industry or business: (blank)
Father Name: Eligah COMBS
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Elizabeth GIBSON
Mother Birthplace: Knott Co., Ky.
Informant: Milerd GIBSON, Estill, Ky.
Burial Place: Estill, Ky.
Date: 16 September 1941
Signature of funeral director: O. T. Lemaster, Martin,
Ky.
Date received by local registrar: 22 September 1941
Registrar's Signature: Phena Slone
Date of Death: 14 September 1941
I hereby certify that I attended deceased from 07 September
1941 to
14 September 1941, that I last saw him alive on 14 September
1941, and that death occurred on the date stated above at
11:15 a.m.
Immediate cause of death: gastric hemorrhage
Duration: 01 day
Due to: gastric carcinoma
Other conditions: Sl. rt. indirecting hernia
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. R. Messer, M.D., Lackey, Ky.
Date signed: 18 September 1941
Transcribed by Debbie Tamborski, 12 October 2010 |