Date:  03 April 1954
Cert:  #16282
Place of Death: County: Knott      City or Town: Lackey
Length of stay (in this place): Day
Name of Hospital or Institution: Stumbo Hospital
Usual Residence of Deceased: State: Kentucky    County: Floyd
City or Town: Hippo     Street Address: (blank)
Full Name:  Jasper HICKS
Date of Death:  03 April 1954
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth:  12 April 1879
Age: 74 years, 11 months, 18 days
Usual Occupation:  Farmer
Kind of Industry or business: Farming
Birthplace:  Floyd County, Kentucky
Father's Name:  Smith HICKS
Mother's Maiden Name:  Nancy CONLEY
Was deceased ever in armed forces: No
Social Security No.: 402-28-7333
Informant:  Ossie HICKS (wife)
Disease/condition directly leading to death:  nesenteris thrombosis
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 01 April 1954 to 03 April 1954, that I last saw the deceased alive on 03 April 1954, and that death occurred at 3:05 a.m., from the causes and on the date stated above.
Date signed:  05 April 1954
Address:  Lackey, Ky.
Signature:  C. M. Aker, M.D.
Burial, Cremation or Removal: Burial
Date:  06 April 1954
Name of Cemetery or Crematory:  Hicks Cemetery
Location:  Hippo, Kentucky
Date received by local registrar:  14 April 1954
Registrar's Signature: Mrs. Rose B. Craft
Funeral director & address:  Carter & Callihan Funeral Home, Prestonsburg, Kentucky
Transcribed by Debbie Tamborski, 17 March 2011