Date: 29 August 1945
Cert: 17466
Place of Death: County: Knott City or
Town: Leburn
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural
If rural give precinct: Leburn
Full Name: Christine SLONE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Widowed
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 05 October 1863
Age: 81 years
Birthplace: Knott Co., Ky.
Occupation: House Keeper
Industry or business: (blank)
Father Name: John B. SMITH
Father Birthplace: Ky.
Mother Maiden Name: Sarah ADAMS
Mother Birthplace: Ky.
Informant: Lydia HUNICUTT, May, Ky.
Burial Place: Pine Top
Date: 31 August 1945
Signature of funeral director: Greer & Townsend, Hazard,
Ky.
Date received by local registrar: (blank)
Registrar's Signature: (blank)
Date of Death: 29 August 1945
I hereby certify that I attended deceased from (blank) to
27 August 1945, that I last saw him alive on 29 August 1945,
and that death occurred on the date stated above at 7 a.m.
Immediate cause of death: Disease of the heart and
bowels
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: M. F. Kelley, M.D., Hindman
Date signed: 29 August 1945
Transcribed by Debbie Tamborski, 29 November 2010 |