Date: 27 May 1944
Cert: 20727
Place of Death: County: Knott Co. City or
Town: Handshoe
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Handshoe
Full Name: Mrs. Tilda HICKS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Widow
Husband or Wife of: Geo. HICKS - Deceased
Age of husband or wife if alive: (blank)
Birth date of deceased: Don't Know
Age: 66 years
Birthplace: Don't Know
Occupation: Domestic
Industry or business: (blank)
Father Name: Don't Know
Father Birthplace: "
Mother Maiden Name: "
Mother Birthplace: "
Informant: Buster HICKS, Garrett, Ky.
Burial Place: Mousie, Ky.
Date: 29 May 1944
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar: 25 September 1944
Registrar's Signature: Ida Livingston Rose
B. Craft Acting Registrar
Date of Death: 27 May 1944
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on 1944, and that death
occurred on the date stated above at 9 a.m.
Immediate cause of death: Killed instantly broken
neck
Duration: (blank)
Due to: Thrown by horse
Major findings of operations: (blank)
Accident, suicide, or homicide: Accident
Date of occurrence: 27 May 1944
Where did injury occur: Public road
While at work: (blank)
Means of injury: Horse
Signature & Address: W. J. Ryan, Emb., Martin, Ky.
Date signed: 01 June 1944
Transcribed by Debbie Tamborski, 13 November 2010 |