Date:   06 August 1949
Cert:   27827 
Place of Death: County: Knott    City or Town: Handshoe, Ky.  Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Kentucky   County: Knott
City or Town: Handshoe  Rural     Street Address: (blank)
Full Name:  Herless HICKS
Date of Death:  06 August 1949
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth:  16 January 1918
Age:  31 years, 06 months, 20 days
Usual Occupation:  Farming
Kind of Industry or business: Gen. Farming
Birthplace:  Knott Co., Ky.
Father's Name:  George HICKS
Mother's Maiden Name:  Tilda ENGLE
Was deceased ever in armed forces: No
Social Security No.: 404-28-5578
Informant:  Cordelia HICKS
Disease or condition directly leading to death: Lobar Pneumonia
Interval between onset and death:  (blank)
Due to:  (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy:  No
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 05 August 1949 to 06 August 1949, that I last saw the deceased alive on 06 August 1949, and that death occurred at 2 p.m., from the causes and on the date stated above.
Date signed:  08 August 1949
Address:  Garrett, Ky.
Signature:  Mark Dempsey, M.D.
Burial, Cremation or Removal:  Burial
Date:  08 August 1949
Name of Cemetery or Crematory:  Wils Handshoe Cem.
Location:  Handshoe, Knott, Ky.
Date received by local registrar:  01 November 1950
Registrar's Signature:  Rose B. Craft
Funeral director & address:  Friends & Relatives, Handshoe, Ky.
Transcribed by Debbie Tamborski, 05 January 2011