DEATH CERTIFICATE

ADAM SLONE

Date:    02 January 1944
Cert:    09960 
Place of Death: County: Knott   City or Town:  Pippapass, Ky.
Street Number or Location:  Rural
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky   County: Knott
City or Town: Pippapass, Ky.     Street No.:  Rural 
Full Name:  Adam SLONE 
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status:  Male, White, Widowed
Husband or Wife of:  Christiana REYNOLDS
Age of husband or wife if alive: deceased
Birth date of deceased:   27 August 1862
Age:  81 years, 04 months, 05 days
Birthplace:  Floyd County 
Occupation:  Farming 
Industry or business:  Farming
Father Name:  Adam SLONE 
Father Birthplace:  Floyd County 
Mother Maiden Name:  Christiana REYNOLDS 
Mother Birthplace:  Letcher County 
Informant:  Bertha HALL, Hollybush, Ky. 
Burial Place:  Hollybush, Ky. 
Date:  04 January 1944 
Signature of funeral director:  Marion Slone, Pippapass
Date received by local registrar: 29 April 1944 
Registrar's Signature:  Ida Livingston
Date of Death:  02 January 1944 
I hereby certify that I attended deceased from 01 January 1944 to 03 January 1944, that I last saw him alive on 02 January 1944, and that death occurred on the date stated above at 9 p.m.
Immediate cause of death:  (blank) 
Duration: (blank)
Due to:  Apoplexy
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work:  (blank)
Means of injury: (blank)
Signature & Address:  M. F. Kelley, M.D., Hindman, Ky.
Date signed:  29 April 1944 
Transcribed by Debbie Tamborski, 22 November 2010