Date: 05 June 1953
Cert: 19126
Place of Death: County: Knott
City or Town: Garner
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Garner If rural give
location:
(blank)
Full Name: Edis SLONE
Date of Death: 05 June 1953
Sex, Color/Race, Marital Status: Female, White, Never Married
Date of Birth: 28 July 1947
Age: 05 years, 10 months
Usual Occupation: None
Kind of Industry or business: (blank)
Birthplace: Knott Co., Ky.
Father's Name: Isom SLONE
Mother's Maiden Name: Corsie SLONE
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Corsie SLONE
Disease or condition directly leading to death: Acute
Nephritis
Interval between onset and death: (blank)
Due to: No other findings
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 (blank) to
05 June 1953, that I last saw the deceased alive on 05 June
1953, and
that death occurred at 12:00 p.m., from the causes and on the
date stated above.
Date signed: 05 June 1953
Address: Lackey, Ky.
Signature: C. M. Aker, M.D.
Burial, Cremation or Removal: Burial
Date: 07 June 1953
Name of Cemetery or Crematory: Jackson Cemetery
Location: Garner, Ky.
Date received by local registrar: 31 August 1953
Registrar's Signature: Rose B. Craft
Funeral director & address: John Everage, Hindman,
Ky.
Transcribed by Debbie Tamborski, 11 February 2011 |