Date: 23 November 1944
Cert: 27649
Place of Death: County: Knott City or
Town: Lackey
Name of Hospital or Institution: Stumbo Mem. Hosp.
Length of stay in hospital or community: 01 day
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Lackey
Full Name: Gertrude SLONE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 05 August 1938
Age: 06 years, 03 months, 18 days
Birthplace: Knott Co., Ky.
Occupation: (blank)
Industry or business: (blank)
Father Name: Cullen SLONE
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Dahlia SLONE
Mother Birthplace: Knott Co., Ky.
Informant: Cullen SLONE, Lackey, Ky.
Burial Place: Hollybush, Ky.
Date: 25 November 1944
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar: 10 December 1944
Registrar's Signature: Ida Livingston Rose
B. Craft Acting Registrar
Date of Death: 23 November 1944
I hereby certify that I attended deceased from 22 November
1944 to
23 November 1944, that I last saw him alive on 23 November
1944, and that death occurred on the date stated above at
11:30 p.m.
Immediate cause of death: 3rd degree burns over 2/3 of
body
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: Accident
Date of occurrence: 11 November 1944
Where did injury occur: In home
While at work: (blank)
Means of injury: (blank)
Signature & Address: A. B. Hodge, M.D., Lackey, Ky.
Date signed: 10 December 1944
Transcribed by Debbie Tamborski, 22 November 2010 |