|
DEATH
CERTIFICATE
JOEL SLONE
Date 10 March 1942
Cert: 06952
Place of Death: County: Johnson City or Town:
Paintsville, Ky.
Name of Hospital or Institution: Paintsville Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Knott
City or Town: Rural
Full Name: Joe SLONE
If Veteran Name War: No
Social Security No.: No
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: (blank)
Age of husband or wife if alive: 40 years
Birth date of deceased: 02 August 1876
Age: 65 years, 07 months, 08 days
Birthplace: Knott Co.
Occupation: Farmer
Industry or business: Own farm
Father Name: Tandy SLONE
Father Birthplace: (blank)
Mother Maiden Name: Annie SAMMONS
Mother Birthplace: (blank)
Informant: R. T. SLONE, Knott Co.
Burial Place: Dema
Date: 11 March 1942
Signature of funeral director: Paintsville Fun. Co.,
Paintsville, Ky.
Date received by local registrar: 12 March 1942
Registrar's Signature: Irene Helton
Date of Death: 10 March 1942
I hereby certify that I attended deceased from 15 February
1942 to 10 March 1942, that I
last saw him alive on 10 March 1942, and that death occurred on the date
stated above at 10:15 p.m.
Immediate cause of death: Myocarditis decompensating
Due to: (blank)
Other conditions: Chr. nephritis
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature: W. E. Acken, Jr., M.D., Paintsville, Ky.
Date signed: 10 March 1942
Transcribed by Debbie Tamborski, 05 February 2010 |
|