Date: 31 January 1944
Cert: 09963
Place of Death: County: Knott City or
Town: Emmalena, Ky.
Street Number or Location: Rural
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Emmalena, Ky. Rural
Full Name: Heber HICKS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Child
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 09 June 1943
Age: 07 months, 22 days
Birthplace: Tina, Knott Co., Ky.
Occupation: None
Industry or business: (blank)
Father Name: Riley P. HICKS
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Luna TERRY
Mother Birthplace: Knott Co., Ky.
Informant: Rhoda HICKS, Tina, Ky.
Burial Place: Tina, Ky.
Date: 02 February 1944
Signature of funeral director: Lisha Patrick, Tina, Ky.
Date received by local registrar: 29 April 1944
Registrar's Signature: Ida Livingston
Date of Death: 31 January 1944
I hereby certify that I attended deceased from 10 January 1944 to
31 January 1944, that I last saw him alive on 20 January 1944,
and that death occurred on the date stated above at 8 p.m.
Immediate cause of death: Lobar pneumonia
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: M. F. Kelley, M.D., Hindman,
Ky.
Date signed: 29 April 1944
Transcribed by Debbie Tamborski, 13 November 2010 |