DEATH CERTIFICATE

ANDREW JACKSON SLONE

Date  12 July 1921
Cert: #  01753
Name:  Andrew Jackson SLONE
Place of Death: Voting Pct. Lower Caney, Knott Co., KY
Female, White, Widowed
Birth Date:  23 May 1846 
Age:  75 years, 01 months, 19 days
Occupation:  Farming
Place of Birth:  Knott Co., Ky.
Name of Father:  Isom SLONE
Birthplace Father:  Knott Co., Ky. 
Maiden Name of Mother:  TRIPLET
Birthplace Mother:  Knott Co. 
Informant:  Bee SLONE, Raven, Ky.
Death Date:  12 July 1921 
Cause of Death:  Yellow Jaundice
Signed:  D. W. Duke, M.D.
Burial Place:  Hollybush 
Date of Burial:  14 July 1922 (transcribed as written)
Undertaker:  (blank) 
File Date:  (blank) 
Transcribed by Debbie Tamborski, 15 February 2009