Date: 17 February 1947
Cert: 28984
Place of Death: County: Knott City or
Town: Lackey, Ky. Rural
Name of Hospital or Institution: Stumbo Memorial
Hospital
Length of stay in hospital or community: 13 days
Usual Residence of Deceased: State: Kentucky
County: Floyd
City or Town: Lackey Rural
Full Name: Mrs. Millie WICKER
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Widowed
Husband or Wife of: Widow
Age of husband or wife if alive: (blank)
Birth date of deceased: 07 December 1864
Age: 82 years, 02 months, 10 days
Birthplace: Ky.
Occupation: House wife
Industry or business: (blank)
Father Name: Asa DAVIS
Father Birthplace: Va.
Mother Maiden Name: Ersula RIDDLE
Mother Birthplace: N.C.
Informant: M. V. WICKER, Wayland, Ky.
Burial Place: Wicker Cemetery
Date: 18 February 1947
Signature of funeral director: E. P. Arnold,
Prestonsburg, Ky.
Date received by local registrar: 17 February 1947
Registrar's Signature: Rose B. Craft
Date of Death: 17 February 1947
I hereby certify that I attended deceased from 04 February
1947 to
17 February 1947, that I last saw h-- alive on 17 February
1947, and that death
occurred on the date stated above at 3 a.m.
Immediate cause of death: hypostatic pneumonia following
influenza
Duration: 14 days
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: C. M. Aker, M.D., Lackey, Ky.
Date signed: 02 June 1947
Transcribed by Debbie Tamborski, 21 December 2010 |