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DEATH
CERTIFICATE
ARLEN JONES
Date 27 January 1934
Cert: 01820
Place of Death: Voting Pct.: Gamefill, Lawrence Co., Ky.
Full Name: Arlen JONES
Residence: Dema, Ky.
Length of Residence where death occurred: 07 days
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of: (blank)
Date of Birth: October 1901
Age: 32 years
Occupation: Miner, Coal Mines
Birthplace: Knot Co., Ky.
Father Name: Dowell JONES
Birthplace Father: Knot Co., Ky.
Mother Maiden Name: Olive SLONE
Birthplace Mother: Raven, Ky.
Informant/Address: W. L. LOWE, Lowmansville, Ky.
Burial Cremation Removal Place: Dema, Ky.
Date: 31 January 1933 (transcribed as written)
Undertaker/Address: Sherman SLONE, Dema, Ky.
Filed: 13 February 1934
Registrar: Jeff Chandler
Death of Date: 27 January 1934
I hereby certify, That I attended deceased from 22 January
1934 to
27 January 1934, that I last saw him alive on 22 January 1934,
death is said to have occurred on the date stated above, at 5
p.m.
Cause of Death: Tuberculosis of Lungs
Date of onset: 1930
Contributory causes: (blank)
Name of operation: (blank)
Accident, suicide, homicide: (blank)
Date of Injury: (blank)
Where did injury occur: (blank)
Specify whether injury occurred industry, home, public place:
Manner of injury: (blank)
Nature of injury: (blank)
Related to occupation: (blank)
Signed/Address: T. R. Preston, M.D., Lowmansville, Ky.
Transcribed by Debbie Tamborski, 16 April 2010 |
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