DEATH CERTIFICATE

LEE WICKER

Date:  11 June 1955
Cert:  #12145
Place of Death: County: Knott      City or Town: Rural
Length of stay (in this place): 06 hours
Street Address or Location:  Garrett, Ky.
Usual Residence of Deceased: State: Ohio      County: Allen
City or Town: Lima, Ohio    Street Address: 148 East 10th St.
Full Name:  Lee WICKER
Date of Death:  11 June 1955
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth:  06 July 1897
Age: 57 years
Usual Occupation:  Factory worker
Kind of Industry or business: worker
Birthplace:  Knott Co., Ky.
Father's Name:  Alex WICKER
Mother's Maiden Name:  Rhoda HICKS
Was deceased ever in armed forces: (blank)
Social Security No.: 403-10-1842
Informant:  Mrs. Lee WICKER
Disease/condition directly leading to death: Coronary Occlusion
Interval between onset and death:  Sudden
Due to:  (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy:  (blank)
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 11 June 1955 to 11 June 1955, that I last saw the deceased alive on 11 June 1955, and that death occurred at 6 a.m., from the causes and on the date stated above.
Date signed:  13 June 1955
Address:  Garrett, Ky.
Signature:  Mark Dempsey, M.D.
Burial, Cremation or Removal: Burial
Date:  13 June
Name of Cemetery or Crematory: Chaffin Cemetery
Location:  Knott Co., Ky.
Date received by local registrar: 17 June 1955
Registrar's Signature: Myrtle Slone
Funeral director & address:  John N. Taul, Mt. Sterling, Ky., Eastin Richey Funeral Home
Transcribed by Debbie Tamborski, 14 May 2011