Date: 29 June 1945
Cert: 13040
Place of Death: County: Knott City or
Town: Pippapass, Ky. Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Pippapass, Ky.
Street No.: Rural
Full Name: Eddis SLONE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Virginia SLONE
Age of husband or wife if alive: 18 years
Birth date of deceased: (blank)
Age: 18 years, 01 months, 04 days
Birthplace: Pip
Occupation: Farmer & Defense work
Industry or business: (blank)
Father Name: Isom SLONE
Father Birthplace: Pip
Mother Maiden Name: Ruthie Ann REYNOLDS
Mother Birthplace: Mallie
Informant: Darcus REYNOLDS, Pippapass, Ky.
Burial Place: Pippapass
Date: 30 June 1945
Signature funeral director: Friends & neighbors,
Pippapass, Ky.
Date received by local registrar: 30 June 1945
Registrar's Signature: Rose B. Craft
Date of Death: 29 June 1945
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at (blank)
Immediate cause of death: Shot to death. Died
instantly.
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: Homicide
Date of occurrence: 29 June 1945
Where did injury occur: At Andy Slone's home on Trace
While at work: No
Means of injury: Shot gun
Signature & Address: M. F. Kelley, M.D., Hindman,
Ky.
Date signed: 30 June 1945
Transcribed by Debbie Tamborski, 29 November 2010 |