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DEATH
CERTIFICATE
M. M. SLOAN
Date 15 October 1938
Cert: 25353
Place of Death: Voting Pct.: Jenkins Hospital, Jenkins,
Letcher Co., KY.
Full Name: M. M. SLOAN
Residence: Neon, Ky.
Length of Residence: (blank)
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of: (blank)
Date of Birth: 05 March 1899
Age: 39 years, 07 months, 10 days
Occupation: Store Manager
Birthplace: Knott Co., Ky.
Father Name: Proctor SLOAN
Birthplace Father: Knott Co.
Mother Maiden Name: Roenia COX
Birthplace Mother: Knott Co.
Informant/Address: Proctor SLOAN, Knott Co.
Burial Cremation Removal Place: Sloan, Ky.
Date: 17 October 1938
Undertaker/Address: Johnson Funeral Home, Neon, Ky.
Filed: 21 October 1938
Registrar: E. M. Collins
Death of Date: 15 October 1938
I hereby certify, That I attended deceased from 13 October
1938 to
15 October 1938, that I last saw him alive on 15 October 1938,
death is said to have occurred on the date stated above, at 11
p.m.
Cause of Death: Ruptured Pyloric Ulcer General
Peritonitis
Date of onset: 13 October 1938
Contributory causes: (blank)
Name of operation: Closure of Ulcer - Gastro (illegible)
Date of: 14 October 1938
What test confirmed diagnosis: (blank)
Was there an autopsy: No
Specify whether injury occurred industry, home, public place:
Manner of injury: (blank)
Nature of injury: (blank)
Related to occupation: No
Signed/Address: (illegible), M.D., Jenkins, Ky.
Transcribed by Debbie Tamborski, 30 April 2010 |
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