Date: 03 July 1950
Cert: 23324
Place of Death: County: Knott
City or Town: Lackey, Ky. Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: Stumbo Memorial
Hospital
Usual Residence of Deceased: State: Kentucky
County: Floyd
City or Town: Hueysville Rural Street Address:
(blank)
Full Name: Infant SLONE
Date of Death: 03 July 1950
Sex, Color/Race, Marital Status: Female, White, Never Married
Date of Birth: 01 July 1950
Age: 02 days
Usual Occupation: none
Kind of Industry or business: none
Birthplace: Lackey Hosp. - Knott Co., Ky.
Father's Name: Doliver SLONE
Mother's Maiden Name: Patsy LITZ
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Patsy L. SLONE
Disease/condition directly leading to death: Aspiration of
Fluids
Interval between onset and death: (blank)
Due to: Prematurity
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
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 01 July 1950 to
03 July 1950, that I last saw the deceased alive on 01 July
1950, and
that death occurred at 8:30 p.m., from the causes and on the
date stated above.
Date signed: 06 November 1950
Address: Lackey, Ky.
Signature: Martha A. Loving, M.D.
Burial, Cremation or Removal: Burial
Date: 05 July 1950
Name of Cemetery or Crematory: Hueysville
Location: Floyd, Ky.
Date received by local registrar: 27 November 1950
Registrar's Signature: Rose B. Craft
Funeral director & address: Relatives & Friends,
Hueysville, Ky.
Transcribed by Debbie Tamborski, 17 January 2011 |