Date: 31 October 1948
Cert: 27255
Place of Death: County: Knott City
or Town: Pippapass, Ky. Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Street Address: Pippapass Rural
Full Name: John SLONE
Date of Death: 31 October 1948
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 18 September 1899
Age: 49 years
Usual Occupation: Farmer
Kind of Industry or business: Agriculture
Birthplace: Knott Co., Ky.
Father's Name: Father Unknown
Mother's Maiden Name: Nannie SLONE
Was deceased ever in armed forces: No
Social Security No.: 407-98-43--
Informant: Herman SLONE
Disease or condition directly leading to death: Gun shot
wound
Interval between onset and death: died instantly
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: no
Accident, suicide, or homicide: Homicide
Place of injury: On public road
City or Town, County, State: Pippapass, Knott, Ky.
Time of Injury: 31 October 1948
Injury occurred at work: Not while at work
How did injury occur: Deceased was riding in back of truck -
was shot by drunk neighbor and died instantly
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw the deceased alive on (blank), and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: 27 January 1950
Address: Hindman, Ky.
Signature: J. W. Duke
Burial, Cremation or Removal: Buried
Date: 02 November 1948
Name of Cemetery or Crematory: Alice Point Cemetery
Location: Pippapass, Knott Co., Ky.
Date received by local registrar: 27 January 1950
Registrar's Signature: Rose B. Craft
Funeral director & address: Friends & Relatives, Pippapass,
Ky.
Transcribed by Debbie Tamborski, 18 October 2010 |