Date:  07 January 1955
Cert:  #01145
Place of Death: County: Knott      City or Town: Rural - Garner
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town: Rural - Garner     Street Address: (blank)
Full Name:  Carol SLONE
Date of Death:  07 January 1955
Sex, Color/Race, Marital Status: Female, White, Never Married
Date of Birth:  07 January 1955
Age: 01 hours, 45 minutes
Usual Occupation:  (blank)
Kind of Industry or business: (blank)
Birthplace:  Garner, Ky.
Father's Name:  Arnzie SLONE
Mother's Maiden Name:  Pheba SLONE
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  Pheba SLONE
Disease or condition directly leading to death:  Premature Birth
Interval between onset and death:  (blank)
Due to:  (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
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 07 January 1955 to 07 January 1955, that I last saw the deceased alive on 07 January 1955, and that death occurred at 11:00 a.m., from the causes and on the date stated above.
Date signed:  24 January 1955
Address:  Carrie, Ky.
Signature:  Ibby Short, Midwife
Burial, Cremation or Removal: Burial
Date:  08 January 1955
Name of Cemetery or Crematory:  Slone Cemetery
Location:  Garner, Ky.
Date received by local registrar: 24 January 1955
Registrar's Signature: Myrtle Slone
Funeral director & address:  Cleveland Slone (Neighbor), Garner, Ky.
Transcribed by Debbie Tamborski, 14 May 2011