Date: 27 January 1955
Cert: #09988
Place of Death: County: Knott City or Town:
Garner - Rural
Length of stay (in this place): (blank)
Street Address or Location: on Slone Fork
Usual Residence of Deceased: State: Ky. County:
Knott
City or Town: Garner - Rural
Street Address: on Slone Fork
Full Name: Lee SLONE
Date of Death: 27 January 1955
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: (blank)
Age: 88 years
Usual Occupation: (blank)
Kind of Industry or business: Farmer
Birthplace: Raven, Ky.
Father's Name: Isom SLONE
Mother's Maiden Name: Frankie TRIPLETT
Was deceased ever in armed forces: unknown
Social Security No.: (blank)
Informant: Haless SLONE
Disease or condition directly leading to death:
Paralyzed
Interval between onset and death: 03 weeks
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 December 1954 to
27 January 1955, that I last saw the deceased alive on 24
January 1955, and
that death occurred at 1 a.m., from the causes and on the
date stated above.
Date signed: 28 January 1955
Address: Garrett, Ky.
Signature: Mark Dempsey, M.D.
Burial, Cremation or Removal: Burial
Date: 29 January 1955
Name of Cemetery or Crematory: (illegible ?Dan?) Slone
Location: Pippapass, Ky.
Date received by local registrar: 24 May 1955
Registrar's Signature: Myrtle Slone
Funeral director & address: John Everage
Transcribed by Debbie Tamborski, 14 May 2011 |