DEATH CERTIFICATE

 DELMAS B. SLONE

Date:   02 March 1941
Cert:   10596 
Place of Death: County: Knott     City or Town: Rural
Street No. or Location:  own home
Length of stay in hospital or community: all life
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town:  Rural     If rural, give precinct:  Garner
Full Name:  Delmas B. SLONE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of:  (blank)
Age of husband or wife if alive:   (blank)
Birth date of deceased:  11 November 1940
Age: 03 months, 19 days
Birthplace:  Garner, Ky., Knott Co.
Occupation:  (blank)
Industry or business: (blank)
Father Name:  Charlie SLONE
Father Birthplace:  Garner, Ky., Knott Co.
Mother Maiden Name:  Annie THACKER
Mother Birthplace:  Knott Co., Ky.
Informant:  Charlie SLONE, Garner
Burial Place:  Garner, Ky.
Date:  03 March 1941
Signature of funeral director: (blank)
Date received by local registrar:  28 April 1941
Registrar's Signature:  Macie Miller
Date of Death:  02 March 1941
I hereby certify that I attended deceased from 02 March 1941 to 02 March 1941, that I last saw him alive on 02 March 1941, and that death occurred on the date stated above at 12:30 p.m.
Immediate cause of death:  Broncho Pneumonia
Duration: 04 days
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: Mark Dempsey, M.D., Hindman, Ky.
Date signed:  22 April 1941
Transcribed by Debbie Tamborski, 15 October 2010