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DEATH
CERTIFICATE
LEANOR SLONE
Date: 06 February 1940
Cert: 10428
Place of Death: County: Knott City or Town:
Lackey
Name of Hospital or Institution: Stumbo Mem. Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky County:
Knott
City or Town: Dema, Ky.
Full Name: Leanor SLONE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Single
Husband or Wife of: Single
Age of husband or wife if alive: (blank)
Birth date of deceased: 09 March 1897
Age: 42 years, 10 months, 27 days
Birthplace: Knott
Occupation: (blank)
Industry or business: (blank)
Father Name: J. W. SLONE
Father Birthplace: Floyd Co.
Mother Maiden Name: Mary Elizabeth MCKINNEY
Mother Birthplace: Floyd Co.
Informant/Address: Milton SLONE, Wayland, Ky.
Burial Place: Dema, Ky.
Date: 08 February 1940
Signature of funeral director/address: G. D. Ryan, Martin, Ky.
Date received by local registrar: 14 February 1940
Registrar's Signature: Macie Miller
Date of Death: 06 February 1940
I hereby certify that I attended deceased from 20 January 1940 to
06 February 1940, that I last saw him alive on 06 February
1940, and that death
occurred on the date stated above at 4:00 p.m.
Immediate cause of death: Cerebral Thrombosis
Duration: (blank)
Due to: ??etic disease
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: A. Rabin, M.D., Martin
Date signed: (blank)
Transcribed by Debbie Tamborski, 29 August 2010 |
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