DEATH CERTIFICATE

JAY SLONE

Date 14 January 1931
Cert: #  10325
Name:  Jay SLONE
Place of Death: Voting Pct. #1, Hindman, Knott Co., KY
Male, White, Single
Husband or Wife of:  (blank)
Birth Date:  (blank)
Age: 01 years, 03 months, 04 days
Occupation: None
Place of Birth: Knott Co., Ky.
Name of Father:  Bryan SLONE
Birthplace Father:  Ky.
Maiden Name of Mother:  Canazala SLONE
Birthplace Mother:  Ky.
Informant:  (blank)
Death Date:  14 January 1931
Cause of Death: Membranous croupe 
Signed: M. F. Kelly, M.D.
Burial Place:  Mallie, Ky.
Date of Burial:  15 January 1931
Undertaker:  Bryan Slone, Hindman, Ky.
File Date:  19 April 1931
Transcribed by Debbie Tamborski, 29 June 2009