Date: 05 February 1944
Cert: 27643
Place of Death: County: Knott City or
Town: Handshoe, Ky.
Name of Hospital or Institution: None
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Handshoe Street
No.: Rural
Full Name: Hawlie HICKS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 12 September 1942
Age: (illegible) years, 04 months, 23 days
Birthplace: Handshoe, Ky.
Occupation: (blank)
Industry or business: (blank)
Father Name: Herless HICKS
Father Birthplace: Handshoe, Ky.
Mother Maiden Name: Cordelia HANDSHOE
Mother Birthplace: Handshoe, Ky.
Informant: Wm. HANDSHOE, Handshoe, Ky.
Burial Place: Handshoe
Date: 07 February 1944
Signature of funeral director: Friends, Handshoe, Ky.
Date received by local registrar: Completed 09 December 1944
Registrar's Signature: Ida Livingston R. B. Craft Acting
Reg.
Date of Death: 05 February 1944
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at (blank)
Immediate cause of death: Pneumonia
Duration: (blank)
Due to: unknown
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: J. W. Duke, M.D., Hindman, Ky.
Date signed: 30 December 1944
Transcribed by Debbie Tamborski, 13 November 2010 |