DEATH CERTIFICATE

LEE SLONE

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