DEATH CERTIFICATE

MERTIE HICKS

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