Date: 13 January 1952
Cert: 03231
Place of Death: County: Knott
City or Town: Mousie
Length of stay (in this place): 30 years
Street address or location: Rural
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Mousie Street
Address: Rural
Full Name: Mertie HICKS
Date of Death: 13 January 1952
Sex, Color or Race, Marital Status: Female, White, Married
Date of Birth: 31 July 1897
Age: 54 years
Usual Occupation: Housewife
Kind of Industry or business: Home
Birthplace: Ky.
Father's Name: Tom SPARKMAN
Mother's Maiden Name: Elizabeth WATKINS
Was deceased ever in armed forces: No
Social Security No.: None
Informant: Elder HICKS
Disease/condition directly leading to death: Coronary
Thrombosis
Interval between onset and death: instant
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 (blank) to
(blank), that I last saw the deceased alive on (blank), and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: 15 January 1952
Address: Hindman, Ky.
Signature: Jno. N. Taul (Coroner)
Burial, Cremation or Removal: Burial
Date: 16 January 1952
Name of Cemetery or Crematory: Family Cemetery
Location: Mousie, Ky.
Date received by local registrar: 04 February 1952
Registrar's Signature: Rose B. Craft
Funeral director & address: Charles L. Hornsby,
Hindman, Ky.
Transcribed by Debbie Tamborski, 26 January 2011 |