Date:    03 November 1946
Cert:    26816 
Place of Death: County: Knott   City or Town:  Lackey, Ky.
Name of Hospital or Institution: Stumbo Memorial Hospital
Length of stay in hospital or community: 06 days
Usual Residence of Deceased: State: Ky.     County:  Knott
City or Town:  Mousie, Ky. 
Full Name:  Miss Jessie SLOANE 
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:   24 December 1916
Age:  29 years, 10 months, 10 days
Birthplace:  Mousie, Ky. 
Occupation:  Stenographer 
Industry or business:  (blank)
Father Name:  Lark SLONE 
Father Birthplace:  Ky. 
Mother Maiden Name:  Amanda GIBSON    
Mother Birthplace:   Ky. 
Informant:  H. P. SLONE, Richmond, Ky. 
Burial Place:   Mousie, Ky. 
Date:  05 November 1946 
Signature of funeral director:  G. D. Ryan, Martin, Ky.
Date received by local registrar: 03 December 1946 
Registrar's Signature:  Rose B. Craft
Date of Death:  03 November 1946 
I hereby certify that I attended deceased from 01 November 1946 to 03 November 1946, that I last saw him alive on 03 November 1946, and that death occurred on the date stated above at 11:30 p.m.
Immediate cause of death:  Acute pelvis inflammatory disease
Duration: 10 days
Due to:  Secondary to (illegible) abortion
Major findings of operations: Gangrenous uterus many hemorrhagis blood clot in posterior wall of uterus
Accident, suicide, or homicide: (blank)
Date of occurrence: About 23 October 1946 (illegible) was stuck in uterus
Where did injury occur: (blank)
While at work:  (blank)
Means of injury: (blank)
Signature & Address:  J. C.Coldiron, M.D., Hazard, Ky.
Date signed:  01 December 1946 
Transcribed by Debbie Tamborski, 15 December 2010