Date: 26 July 1945
Cert: 15298
Place of Death: County: Knott City or
Town: Lackey, Ky. Rural
Name of Hospital or Institution: Stumbo Memorial Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Garner Rural
Full Name: Jackson SLONE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White,
Single
Husband or Wife of: none
Age of husband or wife if alive: (blank)
Birth date of deceased: 27 November 1929
Age: 15 years, 07 months, 29 days
Birthplace: Wayland, Ky.
Occupation: School Boy
Industry or business: (blank)
Father Name: Arland SLONE
Father Birthplace: Leburn, Ky.
Mother Maiden Name: Gracie SHORT
Mother Birthplace: Knott Co., Ky.
Informant: (blank) Garner, Ky.
Burial Place: Jackson Slone Cem., Garner, Ky.
Date: 27 July 1945
Signature of funeral director: Friends & Relatives,
Garner, Ky.
Date received by local registrar: 31 July 1945
Registrar's Signature: Rose B. Craft
Date of Death: 26 July 1945
I hereby certify that I attended deceased from 23 July 1945 to
26 July 1945, that I last saw him alive on 26 July 1945, and
that death occurred on the date stated above at 7:00 a.m.
Immediate cause of death: Traumatic injury to right
chest
Duration: (blank)
Due to: Being caught between stump & fallen tree
Major findings of operations: (blank)
Accident, suicide, or homicide: Tree fall
Date of occurrence: 23 July 1945
Where did injury occur: On farm (neighbor's)
While at work: (blank)
Means of injury: (blank)
Signature & Address: J. A. Stumbo, M.D., Lackey, Ky.
Date signed: 31 July 1945
Transcribed by Debbie Tamborski, 30 November 2010 |