Date: 05 March 1948
Cert: 12752
Place of Death: County: Knott
City or
Town: Hindman, Ky. 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 Rural
Full Name: Mrs. Eliza NICKLES
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Widowed
Husband or Wife of: Maston NICKLES
Age of husband or wife if alive: Deceased
Birth date of deceased: No one knows exact date
Age: 76 years
Birthplace: Perry Co., Ky.
Occupation: House Keeper
Industry or business: (blank)
Father Name: John BREWER
Father Birthplace: Kentucky
Mother Maiden Name: Betsy WALKER
Mother Birthplace: Perry Co., Ky.
Informant: Amos NICKLES, Hindman, Ky.
Burial Place: Big Branch of Troublesome
Date: 06 March 1948
Signature of funeral director: Joe Greer, Hazard, Ky.
Date received by local registrar: 23 May 1948
Registrar's Signature: Rose B. Craft
Date of Death: 05 March 1948
I hereby certify that I attended deceased from 01 September
1947 to
04 March 1948, that I last saw him alive on 04 March 1948, and that death
occurred on the date stated above at (blank)
Immediate cause of death: Cerebral hemorrhage with right
Hemiplegia and Aphasia with Dysphagia
Duration: (blank)
Due to: Hypertension, Arterio Sclerosis & other
conditions. Hypertensive & Arterio Sclerotic heart
disease
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: D. G. Barker, M.D., Hindman,
Ky.
Date signed: 01 June 1948
Transcribed by Debbie Tamborski, 28 December 2010 |