DEATH CERTIFICATE

JACKSON SLONE

Date   22 November 1918
Cert: #  34986
Name:  Jackson SLONE
Male, White, Married
Age: 30 years, 02 months, 05 days
Place of Death: Voting Precinct #7 Caney, Knott Co., KY
Birth Date:  17 September 1988 
Occupation:  Farming
Place of Birth:  Knott County
Name of Father:  James P. SLONE
Birthplace Father:  Ky.
Maiden Name of Mother:  Katherine SLONE
Birthplace Mother:  Ky.
Informant:  Anah OWENS, Raven, Ky.
Death Date: 22 November 1918
Cause of Death:  Spanish Influenza  Contributory:  Pneumonia
Signed:  (blank)
Burial Place:  J. P. Slone Cemetery
Date of Burial:  24 November 1918
Undertaker:  Jesse Slone, Raven, Ky.
File Date:  25 November 1918
Transcribed by Debbie Tamborski, 21 November 2008