Date:   03 March 1942
Cert:   07072 
Place of Death: County: Knott  City or Town: Pippapass (Rural)
Name of Hospital or Institution: None
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: (blank)     County: (blank)
City or Town:  (blank)
Full Name:  Isom 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:  15 March 1890
Age: 51 years, 11 months, 18 days
Birthplace:  Knott County, Ky.
Occupation:  Nothing--feeble in both body & mind
Industry or business: (blank)
Father Name:  not known
Father Birthplace:  (blank) 
Mother Maiden Name:  Rebecca Ann SLONE
Mother Birthplace: Kentucky
Informant:  Dora Belle GIBSON, Pippapass, Ky.
Burial Place:  Della Slone Grave
Date:  05 March 1942
Signature of funeral director: (blank)
Date received by local registrar:  16 March 1942
Registrar's Signature:  Ida Livingston
Date of Death:  03 March 1942
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: Pulmonary Tuberculosis
Duration: 05 months
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: Dora Belle Gibson, Midwife, Pippapass, Ky.
Date signed:  14 March 1942
Transcribed by Debbie Tamborski, 18 October 2010