Date:   14 October 1942
Cert:   11735 
Place of Death: County: Knott     City or Town: (blank)
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town:  (blank)
Full Name:  Frank SLONE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:  (blank)
Age: 08 years
Birthplace:  Knott
Occupation:  School Boy
Industry or business: (blank)
Father Name:  Woler WATTS
Father Birthplace:  Kentucky
Mother Maiden Name:  Ida SLONE
Mother Birthplace:  Knott
Informant:  Odis SLONE, Pippapass
Burial Place:  (blank)
Date:  (blank)
Signature of funeral director: (blank)
Date received by local registrar:  20 May 1943
Registrar's Signature:  Ida Livingston
Date of Death:  14 October 1942
I hereby certify that I attended deceased from 01 October 1942 to 14 October 1942, that I last saw him alive on 14 October 1942, and that death occurred on the date stated above at 4 p.m.
Immediate cause of death:  Double pneumonia
Duration: (blank)
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. F. Kelley, Hindman, Ky.
Date signed:  (blank)
Transcribed by Debbie Tamborski, 18 October 2010