Date: 10 September 1956
Cert: # 56-18915
Place of Death: County: Knott
City or Town: Topmost - Rural
Length of stay (in this place): (blank)
Full Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky. County:
Knott
City or Town: Topmost Residence
on a Farm?: Yes
Street Address: (blank) Residence inside
City Limits?: No
Full Name: Farris SLONE
Date of Death: 10 September 1956
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 02 November 1923
Age: 32 years
Usual Occupation: Miner
Kind of Industry or business: (blank)
Birthplace: Knott Co., Ky.
Father's Name: Silas SLONE
Mother's Maiden Name: Nannie GIBSON
Was deceased ever in armed forces: No
Social Security No.: XXX-XX-XXX
Informant: Mrs. Margaret SLONE
Disease or condition directly leading to death: Internal
injuries of chest
Interval between onset and death: (blank)
Due to (b): Slate Fall in mines
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: Accident
Describe how injury occurred: Slate fall in coal mine
Time of injury: 10 September 1956
Injury occurred at work: While at work
Place of injury: in mine
City, Town or Location, County, State: Topmost, Knott, Ky.
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw the deceased alive on (blank), and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: 15 September 1956
Address: Hindman, Ky.
Signature: John Everage, Coroner, Knott Co.
Burial, Cremation or Removal: Burial
Date: 13 September 1956
Name of Cemetery or Crematory: Family
Location: Hollybush, Ky.
Date received by local registrar: 24 September
1956
Registrar's Signature: Myrtle Slone
Funeral director & address: John Everage, Hindman,
Ky.
Transcribed by Debbie Tamborski, 25 April 2012 |