|
DEATH
CERTIFICATE
MINDA HICKS
Date: 31 March 1946
Cert: 10706
Place of Death: County: Floyd City or Town:
Garrett
Street No. or Location: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Floyd
City or Town: Garrett
Full Name: Minda HICKS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Widowed
Husband or Wife of: Andy HICKS
Age of husband or wife if alive: (blank)
Birth date of deceased: unknown
Age: 76 years
Birthplace: Knott Co., Ky.
Occupation: (blank)
Industry or business: (blank)
Father Name: Fieldon COMBS
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Cythea Ann COMBS
Mother Birthplace: Knott Co., Ky.
Informant: Alice RITCHER, Garrett, Ky.
Burial Place: Garrett, Ky.
Date: 02 April 1946
Signature of funeral director: G. D. Ryan, Martin, Ky.
Date received by local registrar: 07 May 1947
Registrar's Signature: Lucy Ransdell
Date of Death: 31 March 1946
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at 11:00 p.m.
Immediate cause of death: (blank)
Duration: (blank)
Due to: Toxemia Pneumonia lobar
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: C. L. Allen, M.D., Martin, Ky.
Date signed: 28 April 1946
Transcribed by Debbie Tamborski, 11 June 2010 |
|