DEATH CERTIFICATE

JUANITA SLONE

Date:    29 August 1948
Cert:    21284 
Place of Death: County: Knott   City or Town: Dema, Ky.
Street Number or Location:  Rural
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.     County:  Knott
City or Town:  Dema     Rural 
Full Name:  Juanita SLONE 
If Veteran Name War: (blank)
Social Security No.:  (blank)
Sex, Color or Race, Marital Status: Female, White, Single
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:  22 February 1948 
Age:  06 months, 07 days
Birthplace:  Dema, Ky. (Floyd Co.) 
Occupation:  (blank) 
Industry or business:  (blank)
Father Name:  Clyde SLONE 
Father Birthplace:  Dema, Ky. 
Mother Maiden Name:   Wanda Lee LAFFERTY 
Mother Birthplace:   Garrett, Ky. 
Informant:  Clyde SLONE, Dema, Ky. 
Burial Place:   Dema, Ky. 
Date:  30 August 1948 
Signature of funeral director:  W. J. Ryan, Martin, Ky.
Date received by local registrar: 19 October 1948 
Registrar's Signature:  Rose B. Craft
Date of Death:  29 August 1948 
I hereby certify that I attended deceased from (blank) to (blank), that I last saw him alive on (blank), and that death occurred on the date stated above at (blank)
Immediate cause of death:  Pneumonia
Duration: (blank)
Due to:  (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work:  (blank)
Means of injury: (blank)
Signature & Address:  J. W. Duke, M.D., Hindman
Date signed:  18 October 1948 
Transcribed by Debbie Tamborski, 29 December 2010