Date: 20 April 1953
Cert: 15047
Place of Death: County: Knott
City or Town: Lackey
Length of stay (in this place): 24 hours
Name of Hospital or Institution: Stumbo Hospital
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Hindman, Ky. If rural give location:
Hindman, Ky.
Full Name: Hiram SIZEMORE
Date of Death: 20 April 1953
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 27 October 1872
Age: 80 years
Usual Occupation: Merchant
Kind of Industry or business: Grocery
Birthplace: Breathitt Co., Ky.
Father's Name: Jeff SIZEMORE
Mother's Maiden Name: Polly CAMPBELL
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Claudia MULLINS SIZEMORE
Disease/condition directly leading to death: Coronary
Occlusion
Interval between onset and death: (blank)
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
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 19 April 1953 to
20 April 1953, that I last saw the deceased alive on 20 April
1953, and
that death occurred at 3 a.m., from the causes and on the
date stated above.
Date signed: 21 April 1953
Address: Lackey, Ky.
Signature: C. M. Aker, M.D.
Burial, Cremation or Removal: Burial
Date: 23 April 1953
Name of Cemetery or Crematory: Hayes Cemetery
Location: Hindman, Ky.
Date received by local registrar: 30 May 1953
Registrar's Signature: Mrs. Rose B. Craft
Funeral director & address: John N. Taul, Hindman
Funeral Home, Hindman, Ky.
Transcribed by Debbie Tamborski, 11 February 2011 |