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DEATH
CERTIFICATE
LOVINI SLONE
Date: 19 January 1945
Cert: 03087
Place of Death: County: Floyd City or Town:
Martin
Hospital or Institution: Martin Gen. Hosp.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Floyd
City or Town: Drift
Full Name: LOVINI SLONE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of: Billy SLONE
Age of husband or wife if alive: 86 years
Birth date of deceased: 18 August 1886
Age: 58 years, 05 months, 01 days
Birthplace: Knott Co., Ky.
Occupation: Domestic
Industry or business: (blank)
Father Name: Alec CAUDILL
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Maizie COOK
Mother Birthplace: Knott Co., Ky.
Informant: Earl SLONE, Drift, Ky.
Burial Place: Jacks Crk., Ky.
Date: 21 January 1945
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar: 03 February 1945
Registrar's Signature: Lucy Ramsdell
Date of Death: 19 January 1945
I hereby certify that I attended deceased from 28 December
1944 to
19 January 1945, that I last saw him alive on 19 January 1945, and that death
occurred on the date stated above at 10:00 p.m.
Immediate cause of death: Dilitation Heart
Duration: (blank)
Due to: Cardio - vascular renal disease
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: C. L. Allen, M.D., Martin, Ky.
Date signed: (blank)
Transcribed by Debbie Tamborski, 06 June 2010 |
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