DEATH CERTIFICATE

CLARA SLONE

Date  08 November 1919
Cert: #  30402
Name:  Clara SLONE
Female, White, Single
Age: 04 years, 28 days
Place of Death: Voting Precinct #7 Caney, Knott Co., KY
Birth Date:  11 October 1915
Occupation:  At home
Place of Birth:  Knott County
Name of Father:  Jesse SLONE
Birthplace Father:  Knott County
Maiden Name of Mother:  Sylvania OWENS
Birthplace Mother:  Knott County
Informant:  Milton OWENS, Raven, Ky.
Death Date:  08 November 1919
Cause of Death:  Membemous croupe [sic]
Signed:  M. F. Kelley, M.D.
Burial Place:  Anah Owens Cemetery
Date of Burial:  29 November 1919
Undertaker:  Milton Owens, Raven, Ky.
File Date:  29 November 1919
Transcribed by Debbie Tamborski, 21 November 2008