Date: 09 October 1949
Cert: 27762
Place of Death: County: Knott
City or Town: Lackey
Length of stay (in this place): (blank)
Name of Hospital or Institution: Stumbo Memorial Hosp.
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Topmost Street Address:
(blank)
Full Name: Cullin SLONE
Date of Death: 09 October 1949
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 22 November 1915
Age: 33 years
Usual Occupation: Miner
Kind of Industry or business: Coal
Birthplace: Kentucky
Father's Name: Isom SLONE
Mother's Maiden Name: Rosa THORNSBURY
Was deceased ever in armed forces: No
Social Security No.: 406-18-3334
Informant: Irvin SLONE
Disease or condition directly leading to death: Skull
Fracture
Interval between onset and death: (blank)
Due to: Automobile accident
Interval between onset and death: 10 hours
Date of Operation: None
Major findings of operation: Not Operated
Autopsy: No
Accident, suicide, or homicide: Accident
Place of injury: Automobile
City or Town, County, State: Wayland, Knott, Kentucky
Time of Injury: 09 October 1949, 6 a.m.
Injury occurred at work: Not while at work
How did injury occur: Attempted escape from
automobile wrecking
I hereby certify that I attended deceased from 09 October 1949 to
09 October 1949, that I last saw the deceased alive on 09
October 1949, and
that death occurred at 4:30 p.m., from the causes and on the
date stated above.
Date signed: 16 May 1950
Address: Lackey, Kentucky
Signature: C. M. Aker, M.D.
Burial, Cremation or Removal: Burial
Date: 11 October 1949
Name of Cemetery or Crematory: (blank)
Location: Hollybush, Knott Co., Ky.
Date received by local registrar: 23 May 1950
Registrar's Signature: Rose B. Craft
Funeral director & address: G. D. Ryan, Martin, Ky.
Transcribed by Debbie Tamborski, 08 January 2011 |