Date: 01 February 1948
Cert: 08267
Place of Death: County: Knott City or
Town: Lackey, Knott Co., Ky.
Street Number or Location: Rural
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Dema
Full Name: Nathaniel NICKLES
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Widowed
Husband or Wife of: Glathey NICKLES
Age of husband or wife if alive: (blank)
Birth date of deceased: 11 February 1870
Age: 77 years, 11 months, 20 days
Birthplace: Scott Co., Va.
Occupation: Farmer
Industry or business: (blank)
Father Name: Wm. NICKLES
Father Birthplace: Va.
Mother Maiden Name: BAKER
Mother Birthplace: Va.
Informant: Troy NICKLES, McDowell, Ky.
Burial Place: Dema, Ky.
Date: 03 February 1948
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar: 21 April 1948
Registrar's Signature: Rose B. Craft
Date of Death: 01 February 1948
I hereby certify that I attended deceased from 30 January 1948 to
01 February 1948, that I last saw him alive on 01 February
1948, and that death
occurred on the date stated above at 10:20 a.m.
Immediate cause of death: Pneumonia
Duration: (blank)
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: J. W. Duke, M.D., Hindman
Date signed: 21 April 1948
Transcribed by Debbie Tamborski, 28 December 2010 |