DEATH CERTIFICATE

BETH SLONE

Date  08 January 1931
Cert: #  10323
Name:  Beth SLONE
Place of Death: Voting Pct. Upper Caney #18, Knott Co., KY
Female, White, Married
Husband or Wife of:  Tom JACOBS
Birth Date:  17 August 1900
Age: 30 years, 04 months, 22 days
Occupation:  Housewife
Place of Birth: Pippapass, Knott Co., Ky.
Name of Father:  James P. SLONE
Birthplace Father:  Pippapass, Ky.
Maiden Name of Mother:  Katherine SLONE
Birthplace Mother:  Pippapass, Ky.
Informant:  Milton (x--his mark) SLONE, Pippapass, Ky.
Death Date:  08 January 1931
Cause of Death:  T. B.     Contributory:  Exposure
Signed: J. W. Duke, M.D.
Burial Place:  E. H. Owens Grave
Date of Burial:  09 Janaury 1931
Undertaker:  Milton (x--his mark) Slone, Pipp;ass, Ky.
File Date:  11 March 1931
Transcribed by Debbie Tamborski, 29 June 2009