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DEATH
CERTIFICATE
BALLARD SLONE
Date 06 March 1940
Cert: 10982
Place of Death: Voting Pct.: Methodist Hospital of Ky., West
Pikeville, Pikeville, Pike Co., Ky.
Full Name: Ballard SLONE
Residence: Hindman, Kentucky
Length of Residence: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: (blank)
Date of Birth: 07 October 1883
Age:56 years, 06 months, 06 days
Occupation: Circuit Court Clerk
Birthplace: Knott Co.
Father Name: L. C. SLONE
Birthplace Father: Raven, Ky.
Mother Maiden Name: Susie THORNSBURY
Birthplace Mother: Raven, Ky.
Informant/Address: Engle Bros., Hazard, Ky.
Burial Cremation Removal Place: Hindman
Date: 08 March 1940
Undertaker/Address: Engle Bros., Hazard, Ky.
Filed: 12 April 1940
Registrar: Zinna Justice
Death of Date: 06 March 1940
I hereby certify, That I attended deceased from 16 January
1940 to 06 March 1940, that I last saw him alive on 06 March
1940, death is said to have occurred on the date stated above,
at 9:50 a.m.
Cause of Death: Carcinoma of Lung (Primary Bronchial)
Date of onset: 1 1/2 years ago
Contributory causes: (blank)
Name of operation: None Was there an
autopsy: No
Accident, suicide, homicide: (blank)
Date of Injury: (blank)
Where did injury occur: (blank)
Specify whether injury occurred industry, home, public place:
Manner of injury: (blank)
Nature of injury: (blank)
Related to occupation: No
Signed/Address: Frank C. Vernon, M.D., Pikeville, Ky.
Transcribed by Debbie Tamborski, 10 May 2010 |
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