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DEATH
CERTIFICATE
EDDIE MAY SLONE
Date 18 March 1948
Cert: 12507
Place of Death: County: Jefferson City or
Town: Louisville
Name of Hospital or Institution: Children's Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: (blank)
Full Name: Eddie May SLONE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, (blank)
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 16 May 1938
Age: 09 years, 10 months, 02 days
Birthplace: Ky.
Occupation: (blank)
Industry or business: (blank)
Father Name: Clinon SLONE
Father Birthplace: (blank)
Mother Maiden Name: (blank)
Mother Birthplace: (blank)
Informant: Rec. Child. Hosp.
Burial Place: Mousie, Ky.
Date: 18 March 1948
Signature of funeral director: Body taken out by father
Date received by local registrar: 18 June 1948
Registrar's Signature: N. N. Ferguson
Date of Death: 18 March 1948
I hereby certify that I attended deceased from 19 February
1948 to
18 March 1948, that I
last saw him alive on 18 March 1948, and that death occurred on the date
stated above at 11:52 a.m.
Immediate cause of death: acute lymphatic leukemia
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: L. L. Washburn, M.D., Childrens
Hosp., Louisville, Ky.
Date signed: 17 June 1948
Transcribed by Debbie Tamborski, 15 February 2010 |
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