Date: 15 March 1950
Cert: 07975
Place of Death: County: Knott City or Town:
Pippapass, Ky. Rural
Length of stay (in this place): Life
Name of Hospital or Institution: None
Usual Residence of Deceased: State: Kentuck
County: Knott
City or Town: Pippapass Rural If rural
give precinct: On Caney Creek
Full Name: Johnny SLONE
Date of Death: 15 March 1950
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 12 April 1856
Age: 93 years, 11 months, 03 days
Usual Occupation: Farmer
Kind of Industry or business: Farming
Birthplace: Pippapass, Ky.
Father's Name: Jake SLONE
Mother's Maiden Name: Hanah JOHNSON
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Mrs. Johnny SLONE
Disease or condition directly leading to death: (blank)
Interval between onset and death: (blank)
Due to (b): age
Due to (c): Pneumonia
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 (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: 19 April 1950
Address: Hindman, Ky.
Signature: J. W. Duke
Burial, Cremation or Removal: Burial
Date: 17 March 1950
Name of Cemetery or Crematory: Slone Cem.
Location: Pippapass, Knott, Ky.
Date received by local registrar: 19 April 1950
Registrar's Signature: Rose B. Craft
Funeral director & address: Friends & Relatives, Pippapass,
Ky.
Transcribed by Debbie Tamborski, 17 January 2011 |