DEATH CERTIFICATE

CHARLES HENRY NICKLES

Date:    12 May 1945
Cert:    13010 
Place of Death: County: Knott   City or Town: Hindman Rural 
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky   County: Knott
City or Town: Hindman     Street No.:  Rural 
Full Name:  Charles Henry NICKLES 
If Veteran Name War: (blank)
Social Security No.:  (blank)
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:  10 May 1945 
Age:  02 days
Birthplace:  Hindman, Ky.     Rural
Occupation:  None 
Industry or business:  (blank)
Father Name:  Ishmael NICKLES 
Father Birthplace:  Knott Co., Ky. 
Mother Maiden Name:   Lizzie SMITH 
Mother Birthplace:   Knott Co., Ky. 
Informant:   Lizzie NICKLES, Hindman, Ky. 
Burial Place:   Hindman Rural 
Date:  13 May 1945 
Signature of funeral director:  None
Date received by local registrar:  01 June 1945 
Registrar's Signature:  Rose B. Craft
Date of Death:  12 May 1945 
I hereby certify that I attended deceased from 10 May 1945 to 12 May 1945, that I last saw him alive on 12 May 1945, and that death occurred on the date stated above at (blank)
Immediate cause of death:  pneumonia 
Duration: 02 days
Due to:  (blank)
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:  R. E. Cumming, (illegible), Combs, Ky.
Date signed:  (illegible) 
Transcribed by Debbie Tamborski, 29 November 2010