Date: 27 November 1945
Cert: 17889
Place of Death: County: Knott City or Town: Lackey, Ky.
Rural
Name of Hospital or Institution: Lackey Memorial Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Mousie
Full Name: Lemon SLONE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of: single
Age of husband or wife if alive: (blank)
Birth date of deceased: 16 December 1929
Age: 15 years, 11 months, 11 days
Birthplace: Knott Co., Ky.
Occupation: Student
Industry or business: (blank)
Father Name: Lewis SLONE
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Elizabeth SLONE
Mother Birthplace: Knott Co., Ky.
Informant: Wm. SLONE, Pippapass, Ky.
Burial Place: Pippapass, Ky.
Date: 29 November 1945
Signature of funeral director: None - Friends, Mousie,
Ky.
Date received by local registrar: 27 April 1946
Registrar's Signature: Mrs. Rose B. Craft
Date of Death: 27 November 1945
I hereby certify that I attended deceased from 27 November
1946 to
27 November 1946, that I last saw him alive on 27 November
1945, and that death occurred on the date stated above at 9:50
p.m. (years transcribed as written)
Immediate cause of death: Lobar pneumonia Rt. & Lt.
Lower Lobar
Duration: 06 days
Due to: (blank)
Major findings of operations: none done Of Autopsy: none
done
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. Williams, M.D., Lackey, Ky.
Date signed: 26 August 1946
Transcribed by Debbie Tamborski, 30 November 2010 |