Date: 24 December 1945
Cert: 04589
Place of Death: County: Knott City or
Town: Pippapass, Ky. Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Pippapass Rural
Full Name: Lizzie SLONE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Single
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 18 August 1935
Age: 10 years, 04 months, 06 days
Birthplace: Pippapass, Ky.
Occupation: None
Industry or business: (blank)
Father Name: Henry SLONE
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Stella SLONE
Mother Birthplace: Knott Co., Ky.
Informant: Dora Belle GIBSON, Pippapass, Ky.
Burial Place: Jimmie Grave Yard, Pip-
Date: 26 December 1945
Signature of funeral director: None - Friends, Pippapass
Date received by local registrar: 28 February 1946
Registrar's Signature: Mrs. Rose B. Craft
Date of Death: 24 December 1945
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at (blank)
Immediate cause of death: Heart trouble - entire body
swelled
Duration: 06 months
Due to: Rheumatism
Other conditions: Influenza
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. W. Duke, M.D., Hindman, Ky.
Date signed: 28 February 1946
Transcribed by Debbie Tamborski, 30 November 2010 |