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DEATH
CERTIFICATE
EVA SLONE
Date: 07 September 1948
Cert: 20428
Place of Death: County: Floyd
City or Town: Lackey
Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Floyd
City or Town: Lackey, Ky.
Full Name: Eva SLONE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: Dollion SLONE
Age of husband or wife if alive: 35 years
Birth date of deceased: 30 August 1921
Age: 27 years, 00 months, 08 days
Birthplace: Knott County
Occupation: Housewife
Industry or business: (blank)
Father Name: Fred SPARKMAN
Father Birthplace: Knott County
Mother Maiden Name: Anna ISAAC
Mother Birthplace: Knott County
Informant: Dollion SLONE, Lackey, Ky.
Burial Place: Millstone, Ky.
Date: 09 September 1948
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar: 27 October
1948
Registrar's Signature: Lucy Ransdell
Date of Death: 07 September 1948
I hereby certify that I attended deceased from 01 June 1948 to
05 September 1948, that I last saw him alive on (illegible)
September 1948, and that death
occurred on the date stated above at 6:30 p.m.
Immediate cause of death: Tuberculosis of lungs
Duration: 01 year
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 & Address: M. V. Wicker, M.D., Wayland, Ky.
Date signed: 23 October 1948
Transcribed by Debbie Tamborski, 01 July 2010 |
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