Date: 19 April 1951
Cert: 07868
Place of Death: County: Knott
City or Town: Rural
Length of stay (in this place): All of life
Street address or location: Pippapass, Ky.
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural If rural
give precinct: Pippapass, Ky.
Full Name: Annie SLONE
Date of Death: 19 April 1951
Sex, Color or Race, Marital Status: Female, White, Widowed
Date of Birth: unknown
Age: app. 85 years
Usual Occupation: Housewife
Kind of Industry or business: Keeping house
Birthplace: Ky.
Father's Name: John SLONE
Mother's Maiden Name: Sallie JOHNSON
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: John M. RAMEY
Disease or condition directly leading to death: Senility
Interval between onset and death: (blank)
Due to: Old Age
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw the deceased alive on (blank), and
that death occurred at 5 a.m., from the causes and on the
date stated above.
Date signed: 19 April 1951
Address: Hindman, Ky.
Signature: Jno. N. Taul (Coroner)
Burial, Cremation or Removal: Burial
Date: 20 April 1951
Name of Cemetery or Crematory: Family Cemetery
Location: Pippapass, Ky.
Date received by local registrar: 23 April 1951
Registrar's Signature: Rose B. Craft
Funeral director & address: Hindman Funeral Home, John N.
Taul, Hindman, Ky.
Transcribed by Debbie Tamborski, 21 January 2011 |