Date:  11 April 1953
Cert:  15053 
Place of Death: County: Knott      City or Town:  Rural
Length of stay (in this place): (blank)
Street address or location: Caney Creek, Raven, Ky.
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town: Rural - Caney Creek    If rural give location: P.O. Raven
Full Name:  Baby Boy SLONE
Date of Death:  11 April 1953 
Sex, Color or Race, Marital Status: Male, White, Never Married
Date of Birth:  11 April 1953 
Age:   11 hours, 30 minutes
Usual Occupation:  (blank) 
Kind of Industry or business: (blank)
Birthplace:   Kentucky 
Father's Name:  Grayson SLONE 
Mother's Maiden Name:  Inez SHORT 
Was deceased ever in armed forces: (blank)
Social Security No.:  (blank)
Informant:  Mother 
Disease or condition directly leading to death: Premature birth
Interval between onset and death:  (blank)
Due to:  (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 11 April 1953 to 12 April 1953, that I last saw the deceased alive on 11 April 1953, and that death occurred at 3:30 a.m., from the causes and on the date stated above.
Date signed:  17 April 1953
Address: Pippapass, Ky.
Signature:  Ivallean Caudill, R.N., C. M.
Burial, Cremation or Removal: Burial
Date:  13 April 1953
Name of Cemetery or Crematory: Family
Location:  Knott, Ky.
Date received by local registrar: 03 August 1953
Registrar's Signature: Rose B. Craft By: L. B.
Funeral director & address:  (blank)
Transcribed by Debbie Tamborski, 11 February 2011