Date: 21 June 1949
Cert: 27763
Place of Death: County: Knott
City or Town: Pippipas
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Pippipass Street Address:
(blank)
Full Name: Billie SLONE
Date of Death: 21 June 1949
Sex, Color or Race, Marital Status: Male, White, Widowed
Date of Birth: 10 March 1860
Age: 89 years
Usual Occupation: Farmer
Kind of Industry or business: General farming
Birthplace: Kentucky
Father's Name: Hard SLONE
Mother's Maiden Name: Haley SLONE
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Madge NEWMAN
Disease or condition directly leading to death:
Paralysis
Interval between onset and death: (blank)
Due to: Senility
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 (blank), from the causes and on the
date stated above.
Date signed: (blank)
Address: (blank)
Signature: J. W. Duke, M.D.
Burial, Cremation or Removal: Burial
Date: 23 June
Name of Cemetery or Crematory: Slone Cem.
Location: Pippipass, Ky.
Date received by local registrar: 11 May 1950
Registrar's Signature: Rose B. Craft
Funeral director & address: G. D. Ryan, Martin, Ky.
Transcribed by Debbie Tamborski, 08 January 2011 |