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DEATH
CERTIFICATE
JIM HICKS
Date 16 July 1933
Cert: # 19406
Name: Jim HICKS
Place of Death: Voting Pct. #1, Soft Shell, Knott Co., KY
Residence: (blank)
Male, White, Single
Husband or Wife of: (blank)
Birth Date: (blank)
Age: 29 years, 04 months, 11 days
Occupation: Farmer
Place of Birth: Knott Co., Ky.
Name of Father: Wesley HICKS
Birthplace Father: Knott Co., Ky.
Maiden Name of Mother: Jane TERRY
Birthplace Mother: Knott Co., Ky.
Informant: Alex HICKS
Death Date: 16 July 1933
Cause of Death: Epilepsy
Signed: M. F. Kelly, M.D., Hindman, Ky.
Burial Place: (illegible)
Date of Burial: (illegible)
Undertaker: J. L. Triplett, Soft Shell, Ky.
File Date: 25 July 1933
Transcribed by Debbie Tamborski, 14 July 2009 |
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