DEATH CERTIFICATE

ICEY SLONE

Date  22 October 1918
Cert: #  29235
Name: Icey SLONE
Female, White
Age: 11 months, 02 days
Place of Death: Voting Precinct #10, Knott Co., KY
Birth Date:  20 November 1917
Occupation:  (blank)
Place of Birth:  Knott Co.
Name of Father:  Delza SLONE
Birthplace Father:  Knott Co.
Maiden Name of Mother:  Betsy BATES
Birthplace Mother:  Knott Co.
Informant:  Delza BATES, Kite, Ky.
Death Date:  22 October 1918
Cause of Death:  Influenza
Signed:  (blank)
Burial Place:  W. M. Thornsberry
Date of Burial:  23 October 1918
Undertaker:  Delza Bates, Kite, Ky.
File Date:  30 October 1918
Transcribed by Debbie Tamborski, 21 November 2008