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DEATH
CERTIFICATE
WILLIAM SLOAN
Date: 15 November 1945
Cert: 24048
Place of Death: County: Letcher City or Town:
Polly (Rural)
Street No. or Location: (blank)
Length of stay in hospital or community: 02 months
Usual Residence of Deceased: State: Kentucky County:
Letcher
City or Town: Polly (Rural)
Full Name: William SLOAN
If Veteran Name War: No
Social Security No.: None
Sex, Color or Race, Marital Status: Male, White, Widowed
Husband or Wife of: Deceased
Age of husband or wife if alive: (blank)
Birth date of deceased: 08 October 1842
Age: 103 years, 01 months, 07 days
Birthplace: Hindman, Kentucky
Occupation: Farmer
Industry or business: General Farming
Father Name: Levi SLOAN
Father Birthplace: Virginia
Mother Maiden Name: No Record
Mother Birthplace:
" "
Informant: Levi SLOAN, Viper, Kentucky
Burial Place: Caudill Cemetery
Date: 16 November 1945
Signature funeral director: Evans Funeral Home, Whitesburg,
Ky.
Date received by local registrar: 17 November 1945
Registrar's Signature: E. M. Collins
Date of Death: 15 November 1945
I hereby certify that I attended deceased from 07 August 1945 to
15 November 1945, that I last saw him alive on 13 November
1945, and that death
occurred on the date stated above at 12:30 a.m.
Immediate cause of death: Asthma
Duration: years
Due to: (blank)
Other conditions: Senility
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: R. D. Collins, M.D., Whitesburg,
Ky.
Date signed: 17 November 1945
Transcribed by Debbie Tamborski, 06 June 2010 |
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