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Date: 14 November 1956
Cert: #56-23568
Place of Death: County: Knott
City or Town: Rural
Length of stay (in this place): All of life
Street Address or Location: Larkslane, Ky.
Usual Residence of Deceased: State: Ky. County:
Knott
City or Town: Rural Residence
on a Farm?: Yes
Street Address: Larkslane, Ky. Residence inside City Limits:
No
Full Name: Lark SLOANE
Date of Death: 14 November 1956
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 07 November 1881
Age: 75 years
Usual Occupation: Merchant
Kind of Industry or business: Country Store
Birthplace: Knott Co., Ky.
Father's Name: (blank)
Mother's Maiden Name: Susan Ann SLOANE
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Mrs. Elizabeth SLOANE
Disease or condition directly leading to death: Coronary
thrombosis
Interval between onset and death: 05 hours
Due to (b): arteriosclerosis
Interval between onset and death: 15 years
Due to: Diabetes mellitus
Interval between onset and death: unk.
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: (blank)
Describe how injury occurred: (blank)
Time of injury: (blank)
Injury occurred at work: (blank)
Place of injury: (blank)
City, Town or Location, County, State: (blank)
I hereby certify that I attended deceased from 22 March 1948
to 14 November 1956, that I last saw the deceased alive on 14
November 1956, and that death occurred at 8:10 p.m., from the
causes and on the date stated above.
Date signed: 17 November 1956
Address: Hindman, Ky.
Signature: D. G. Barker, M.D.
Burial, Cremation or Removal: Burial
Date: 17 November 1956
Name of Cemetery or Crematory: Sloane Cemetery
Location: Larkslane, Ky.
Date received by local registrar: 16 November 1956
Registrar's Signature: Myrtle Slone
Funeral director & address: John N. Taul, Mt. Sterling,
Ky. Eastin-Richey Funeral Home
Transcribed by Debbie Tamborski, 25 April 2012 |