Date:  17 January 1954
Cert:  #16292 
Place of Death: County: Knott      City or Town: Dema
Length of stay (in this place): 40 years
Name of Hospital or Institution:  (blank)
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town: Dema    If rural give location: (blank)
Full Name:  Emizell NICKELS 
Date of Death:  17 January 1954 
Sex, Color or Race, Marital Status: Female, White, Married
Date of Birth:  29 April 1889 
Age:  64 years
Usual Occupation:  Housewife
Kind of Industry or business: Home
Birthplace:   Ky. 
Father's Name:  Ruben SLONE 
Mother's Maiden Name:  Elizabeth SHORT 
Was deceased ever in armed forces: (blank)
Social Security No.:  (blank)
Informant:  Colones C. NICKELS 
Disease or condition directly leading to death: Rheumatic Heart Disease
Interval between onset and death:  (blank)
Due to:  (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy:  (blank)
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 12 January 1954 to 15 January 1954, that I last saw the deceased alive on 15 January 1954, and that death occurred at (blank), from the causes and on the date stated above.
Date signed:  23 January 1954
Address:  Lackey, Ky.
Signature:  Eldon Dykes, M.D.
Burial, Cremation or Removal: Buried
Date:  19 January 1954 
Name of Cemetery or Crematory: Hall Cemetery
Location:  Dema, Ky.
Date received by local registrar:  22 January 1954
Registrar's Signature: Mrs. Rose B. Craft
Funeral director & address:  J. N. Taul, Hindman, Ky.
Transcribed by Debbie Tamborski, 12 March 2011