Date: 01 November 1954
Cert: 26472
Place of Death: County: Knott
City or Town: Larkslane - Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Larkslane - Rural If rural give
location:
(blank)
Full Name: Leslie SLONE
Date of Death: 01 November 1954
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 22 July 1917
Age: 37 years
Usual Occupation: Farmer
Kind of Industry or business: (blank)
Birthplace: Knott Co., Ky.
Father's Name: Marion SLONE
Mother's Maiden Name: Nancy JOHNSON
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Marion SLONE
Disease or condition directly leading to death: Gun Shot
Interval between onset and death: (blank)
Due to: Decapitating Skull
Interval between onset and death: none
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
Accident, suicide, or homicide: Suicide
Place of injury: Home
City or Town, County, State: Larkslane, Knott, Ky.
Time of Injury: 01 November 1954, 10 (illegible)
Injury occurred at work: Not while at work
How did injury occur: Gun shot in Head
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw the deceased alive on (blank), and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: 02 November 1954
Address: Hindman, Ky.
Signature: John Everage, Coroner Knott Co.
Burial, Cremation or Removal: Burial
Date: 03 November 1954
Name of Cemetery or Crematory: (illegible) Cemetery
Location: Pippapass, Ky.
Date received by local registrar: 07 February 1955
Registrar's Signature: Myrtle Slone
Funeral director & address: John Everage, Hindman,
Ky.
Transcribed by Debbie Tamborski, 23 February 2011 |