Date: 18 June 1951
Cert: 14597
Place of Death: County: Knott
City or Town: Rural
Length of stay (in this place): All of Life
Street address or location: Betty, Ky.
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural If rural give
precinct: Betty, Ky.
Full Name: Sallie Ann HICKS
Date of Death: 18 June 1951
Sex, Color or Race, Marital Status: Female, White, Married
Date of Birth: 14 May 1917
Age: 34 years
Usual Occupation: Housewife
Kind of Industry or business: Keeping house
Birthplace: Knott Co., Ky.
Father's Name: Sam SMITH
Mother's Maiden Name: Neville FITZPATRICK
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Huey HICKS
Disease/condition directly leading to death: Cerebral
Hemorrhage
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 (blank) to
(blank), that I last saw the deceased alive on 18 June 1951, and
that death occurred at 6:00 a.m., from the causes and on the
date stated above.
Date signed: 21 June 1951
Address: Garrett, Ky.
Signature: C. B. Ison
Burial, Cremation or Removal: Burial
Date: 20 June 1951
Name of Cemetery or Crematory: Combs Cemetery
Location: Mousie, Ky.
Date received by local registrar: 21 June 1951
Registrar's Signature: Rose B. Craft
Funeral director & address: John N. Taul, Hindman,
Ky.
Transcribed by Debbie Tamborski, 20 January 2011 |