Date:  05 March 1940
Cert:  19749
Place of Death: County: Knott     City or Town: Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town:  Rural   If rural give precinct:  Upper Jones Fork
Full Name:  Cody WICKER
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:  20 January 1940
Age: 01 months, 14 days
Birthplace:  Mousie, Ky.
Occupation:  (blank)
Industry or business: (blank)
Father Name:  Hager WICKER
Father Birthplace:  Mousie, Ky., Knott Co.
Mother Maiden Name:  Mabel WATTS
Mother Birthplace:  Leburn, Ky.
Informant:  (blank)
Burial Place:  Mousie, Ky.
Date:  (blank)
Signature of funeral director: (blank)
Date received by local registrar:  26 August 1940
Registrar's Signature:  Macie Miller
Date of Death:  05 March 1940
I hereby certify that I attended deceased from 20 January 1940 to 20 January 1940, that I last saw him alive on 20 January 1940, and that death occurred on the date stated above at 9 a.m.
Immediate cause of death:  (blank)
Duration: (blank)
Due to: Premature birth
Other Conditions:  Born at 7th month
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address:   Mark Dempsey, M.D., Hindman, Ky.
Date signed:  20 August 1940
Transcribed by Debbie Tamborski, 07 October 2010