Date: 30 August 1944
Cert: 13024
Place of Death: County: Knott City or
Town: Garner
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Garner
Full Name: Harrison SLONE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Widowed
Husband or Wife of: ---CAUDILL (transcribed as written)
Age of husband or wife if alive: (blank)
Birth date of deceased: 14 August 1865
Age: 79 years, 03 months, 23 days
Birthplace: Raven, Kentucky
Occupation: Farmer
Industry or business: (blank)
Father Name: Unknown
Father Birthplace: Floyd County, Ky.
Mother Maiden Name: Unknown
Mother Birthplace: Floyd County, Ky.
Informant: J. W. Duke, Hindman, Ky.
Burial Place: Garner
Date: 31 August 1944
Signature of funeral director: none
Date received by local registrar: (blank)
Registrar's Signature: (blank)
Date of Death: 30 August 1944
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at (blank)
Immediate cause of death: Infection
Duration: (blank)
Due to: (illegible) ulcer artero sclerosis
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: J. W. Duke, M.D., Hindman
Date signed: 22 March 1945
Transcribed by Debbie Tamborski, 22 November 2010 |