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DEATH
CERTIFICATE
EVA SLONE
Date 18 February 1947
Cert: 05412
Place of Death: County: Fayette City or Town: Lexington
Name of Hospital or Institution: Eastern State Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky County: Knott
City or Town: Mollie [sic]
Full Name: Eva SLONE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Widow
Husband or Wife of: Melton SLONE
Age of husband or wife if alive: Died
Birth date of deceased: 1914
Age: 32 years
Birthplace: Knott County, Ky.
Occupation: Housewife
Industry or business: (blank)
Father Name: (blank)
Father Birthplace: (blank)
Mother Maiden Name: (blank)
Mother Birthplace: (blank)
Informant: Hospital Records, Lexington, Ky.
Burial Place: Whitesburg, Ky.
Date: 20 February 1947
Signature of funeral director: Kerr Bros., Lexington, Ky.
Date received by local registrar: 04 March 1947
Registrar's Signature: D. A. Furlong
Date of Death: 18 February 1947
I hereby certify that I attended deceased from 24 October 1941
to 18 February 1947, that I last saw him alive on 18 February
1947, and that death occurred on the date stated above
at(blank)
Immediate cause of death: Mental deficiency with Psychosis
Duration: Life
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: Orena F. Knepper, M.D., Eastern State Hosp.,
Lexington, Ky.
Date signed: 18 February 1947
Transcribed by Debbie Tamborski, 12 February 2010 |
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