Date: 19 January 1948
Cert: 21285
Place of Death: County: Knott City or
Town: Hollybush
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Hollybush
Full Name: Alline SLONE
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: 07 April 1947
Age: 09 months, 12 days
Birthplace: Hi Hat, Ky., Floyd Co.
Occupation: (blank)
Industry or business: (blank)
Father Name: Daffie SLONE
Father Birthplace: Knott County
Mother Maiden Name: Lillie BRYANT
Mother Birthplace: Floyd County
Informant: Daffie SLONE, Hi Hat, Ky.
Burial Place: Hollybush
Date: 20 January 1948
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar: 22 October 1948
Registrar's Signature: Rose B. Craft
Date of Death: 19 January 1948
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at 4:00 p.m.
Immediate cause of death: Pneumonia
Duration: (blank)
Due to: (blank)
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: J. W. Duke, M.D., Hindman, Ky.
Date signed: 21 October 1948
Transcribed by Debbie Tamborski, 28 December 2010 |