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DEATH
CERTIFICATE
ALLEN SLOANE
Date 02 August 1941
Cert: 21776
Place of Death: County: Floyd City or Town: Betsy Layne
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County: Pike
City or Town: Lookout
Full Name: Allen SLOANE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Widower
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 21 February 1860
Age: 81 years, 05 months, 12 days
Birthplace: Knott County, Ky.
Occupation: Farmer
Industry or business: Farming
Father Name: Allen SLOANE
Father Birthplace: Kentucky
Mother Maiden Name: unknown
Mother Birthplace: (blank)
Informant: Nooh H. SLOANE, Virgie, Ky.
Burial Place: Lookout, Ky.
Date: 04 August 1941
Signature of funeral director: J. W. Call, Pikeville, Ky.
Date received by local registrar: 20 September 1941
Registrar's Signature: Mrs. Ben Norris
Date of Death: 02 August 1941
I hereby certify that I attended deceased from 17 June 1941 to
only, that I last saw h-- alive on (blank), and that death
occurred on the date stated above at 12:30 p.m.
Immediate cause of death: Cardio vascular renal Disease
Duration: (blank)
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: Henry Kaminski, M.D., Pikeville,
Ky.
Date signed: 18 September 1941
Transcribed by Debbie Tamborski, 14 May 2010 |
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