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DEATH
CERTIFICATE
WILLIS HICKS
Date 16 August 1937
Cert: 20785
Place of Death: Voting Pct.: Martin, Floyd Co., Ky.
Full Name: Willis HICKS
Residence: Garrett, Ky.
Length of Residence: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Grace HICKS
Date of Birth: March 1913
Age: 24 years
Occupation: Miner Coal Mines
Birthplace: Knott Co., Ky.
Father Name: Alex HICKS
Birthplace Father: Knott Co., Ky.
Mother Maiden Name: Dora CHAFINS
Birthplace Mother: Knott Co., Ky.
Informant/Address: Alex HICKS, Garrett, Ky.
Burial Cremation Removal Place: Garrett
Date: 18 August 1937
Undertaker/Address: E. P. Arnold, Prestonsburg, Ky.
Filed: (illegible)
Registrar: (illegible)
Death of Date: 16 August 1937
I hereby certify, That I attended deceased from (blank) to
(blank), that I last saw h-- alive on (blank), death is said
to have occurred on the date stated above, at 11 a.m.
Cause of Death: No doctor seen this man
Date of onset: (blank)
Contributory causes: (blank)
Name of operation: (blank)
Accident, suicide, homicide: Accident
Date of Injury: 16 August 1937
Where did injury occur: Garrett, Floyd Co., Ky.
Specify whether injury occurred industry, home, public place:
Industry
Manner of injury: Mine injury
Nature of injury: Skull crushed, fractured lt. thigh
Related to occupation: Yes
Signed/Address: (blank)
Transcribed by Debbie Tamborski, 21 April 2010 |
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