Date:   01 November 1956
Cert: #56-23569
Place of Death: County: Knott      City or Town: Dema - Rural
Length of stay (in this place): (blank)
Full Name of Hospital or Institution:  (blank)
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town: Dema         Residence on a Farm?:   Yes
Street Address: (blank)     Residence inside City Limits?:  No
Full Name:   Arizona SLONE
Date of Death:  01 November 1956 
Sex, Color or Race, Marital Status: Female, White,  
Date of Birth:   22 October 1898
Age:  56 years
Usual Occupation:  Housewife
Kind of Industry or business: (blank)
Birthplace: Ky. 
Father's Name:  Joel SLONE   
Mother's Maiden Name:  Mary OWENS   
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  Silas SLONE 
Disease or condition directly leading to death: Coronary attack
Interval between onset and death:  Short time
Due to (c):  Hypertension
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 (blank) to (blank), that I last saw the deceased alive on (blank), and that death occurred at (blank), from the causes and on the date stated above.
Date signed:   05 November 1956
Address:   Wayland, Ky. 
Signature:  M. V. Wicker, M.D. 
Burial, Cremation or Removal: Burial
Date:  04 November 1956 
Name of Cemetery or Crematory:   Turner
Location:   Dema, Ky.
Date received by local registrar:   06 November 1956
Registrar's Signature: Myrtle Slone
Funeral director & address: Hall Bros. Funeral Home, Martin, Ky., Buchell C. Hall 
Transcribed by Debbie Tamborski, 25 April 2012