Date: 21 January 1942
Cert: 04239
Place of Death: County: Knott City or
Town: (blank)
Name of Hospital or Institution: none
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: (blank)
Full Name: Elizabeth SLONE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of: Abisha
Age of husband or wife if alive: (blank)
Birth date of deceased: 01 February 1871
Age: 70 years, 11 months, 21 days
Birthplace: Letcher County, Kentucky
Occupation: House wife
Industry or business: (blank)
Father Name: David LEE
Father Birthplace: Va.
Mother Maiden Name: Sallie BATES
Mother Birthplace: Letcher County, Kentucky
Informant: Phebie SLONE, Garner
Burial Place: (blank)
Date: (blank)
Signature of funeral director: (blank)
Date received by local registrar: (blank)
Registrar's Signature: (blank)
Date of Death: 21 January 1942
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: Pneumonia
Duration: (blank)
Due to: Senility
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: J. W. Duke, M.D., Hindman, Ky.
Date signed: 13 February 1942
Transcribed by Debbie Tamborski, 18 October 2010 |