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DEATH
CERTIFICATE
LULA SLOAN
Date 27 November 1942
Cert: 24025
Place of Death: County: Floyd City or Town:
Martin
Hospital or Institution: Beaver Valley Hosp.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Floyd
City or Town: Harold
Full Name: Lula SLOAN
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 17 February 1907
Age: 35 years, 09 months, 10 days
Birthplace: Knott Co., Ky.
Occupation: None
Industry or business: (blank)
Father Name: John W. SLOAN
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Mary E. MCKINNEY
Mother Birthplace: Floyd Co., Ky.
Informant: Elza ROSE, Grethel, Ky.
Burial Place: Wayland, Ky.
Date: 29 November 1942
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar: 01 December 1942
Registrar's Signature: Winifred Norris
Date of Death: 27 November 1942
I hereby certify that I attended deceased from 24 November
1942 to
27 November 1942, that I last saw him alive on 27 November
1942, and that death occurred on the date stated above at
10:00 p.m.
Immediate cause of death: Myocarditis
Duration: (blank)
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: Edward R. Codden, M.D., Martin,
Ky.
Date signed: 01 December 1942
Transcribed by Debbie Tamborski, 27 May 2010 |
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