Date: 07 January 1955
Cert: #01143
Place of Death: County: Knott City or Town:
Garner - Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky. County:
Knott
City or Town: Garner - Rural Street Address: (blank)
Full Name: Janice SLONE
Date of Death: 07 January 1955
Sex, Color/Race, Marital Status: Female, White, Never Married
Date of Birth: 07 January 1955
Age: 02 hours, 15 minutes
Usual Occupation: (blank)
Kind of Industry or business: (blank)
Birthplace: Garner, Ky.
Father's Name: Arnzia SLONE
Mother's Maiden Name: Pheba SLONE
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Pheba SLONE
Disease or condition directly leading to death:
Premature birth
Interval between onset and death: (blank)
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 07 January 1955 to
07 January 1955, that I last saw the deceased alive on 07
January 1955, and
that death occurred at 11:25 a.m., from the causes and on the
date stated above.
Date signed: 24 January 1955
Address: Carrie, Ky.
Signature: Ibby Short, Midwife
Burial, Cremation or Removal: Burial
Date: 08 January 1955
Name of Cemetery or Crematory: Slone Cemetery
Location: Garner, Ky.
Date received by local registrar: 24 January 1955
Registrar's Signature: Myrtle Slone
Funeral director & address: Cleveland Slone (neighbor),
Garner
Transcribed by Debbie Tamborski, 19 June 2011 |