Date:   17 July 1943
Cert:   15293 
Place of Death: County: Knott     City or Town: Mousie
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:  Mousie
Full Name:  Shirley Ann WICKER
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Child
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:  23 May 1943
Age: 01 months, 24 days
Birthplace:  Mousie, Ky.
Occupation:  (blank)
Industry or business: (blank)
Father Name:  Arthur WICKER
Father Birthplace:  Mousie, Ky.
Mother Maiden Name:  Cassie WHITE
Mother Birthplace:  Mousie, Ky.
Informant:  Tom WICKER, Mousie, Ky.
Burial Place:  Mousie
Date:  18 July 1943
Signature of funeral director: Family, Mousie, Ky.
Date received by local registrar:  16 April 1945
Registrar's Signature:  Mrs. Rose B. Craft acting Per B. Carns
Date of Death:  17 July 1943
I hereby certify that I attended deceased from (blank) to (blank), that I last saw him alive on (blank), and that death occurred on the date stated above at (blank)
Immediate cause of death:  Dehydration fever
Duration: (blank)
Due to: (illegible)  Osteomotion
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. B. Ison, M.D., Garrett, Ky.
Date signed:  16 April 1945
Transcribed by Debbie Tamborski, 29 October 2010