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DEATH
CERTIFICATE
JOHN C. SLONE
Date: 12 June 1952
Cert: 11799
Place of Death: County: Fayette City/Town: Lexington,
Kentucky
Length of stay (in this place): 18 days
Name of Hospital or Institution: Eastern State Hospital
Usual Residence of Deceased: State: Kentucky County:
Floyd
City or Town: Bevinsville Street Address: (blank)
Full Name: John C. SLONE
Date of Death: 12 June 1952
Sex, Color or Race, Marital Status: Male, White, Never married
Date of Birth: 01 August 1880
Age: 71 years
Usual Occupation: Farming
Kind of Industry or business: (blank)
Birthplace: Knott County, Kentucky
Father's Name: Andrew SLONE
Mother's Maiden Name: Nelia JOHNSON
Was deceased ever in armed forces: No
Social Security No.: (blank)
Informant: Hospital Records
Disease or condition directly leading to death: General
Arteriosclerosis
Interval between onset and death: Unknown
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 24 May 1952 to
12 June 1952, that I last saw the deceased alive on 12 June
1952, and
that death occurred at 6:45 a.m. (CDST), from the causes and on the
date stated above.
Date signed: 12 June 1952
Address: Eastern State Hospital
Signature: A. C. Beckitt, M.D.
Burial, Cremation or Removal: Removal
Date: 12 June 1952
Name of Cemetery or Crematory: Wheelwright, Ky.
Location: (blank)
Date received by local registrar: 16 June 1952
Registrar's Signature: D. A. Furlong
Funeral director & address: D. M. Lowe, Lex., Ky.
Transcribed by Debbie Tamborski, 12 August 2010 |
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