Date: 09 September 1944
Cert: 13036
Place of Death: County: Knott City or
Town: Lackey
Name of Hospital or Institution: Stumbo Mem. Hosp.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Floyd
City or Town: Halo
Full Name: Luanzie 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: 30 October 1943
Age: 11 months, 03 days
Birthplace: Halo, Ky.
Occupation: (blank)
Industry or business: (blank)
Father Name: Tom SLONE
Father Birthplace: Floyd Co., Ky.
Mother Maiden Name: Anzey CAUDILL
Mother Birthplace: Pike Co., Ky.
Informant: Tom SLONE, Halo, Ky.
Burial Place: Halo, Ky.
Date: 05 September 1944
Signature of funeral director: Casket purchased from W.
J. Ryan
Date received by local registrar: March 1945
Registrar's Signature: Rose B. Craft
Acting Registrar Per B. Carns
Date of Death: 03 September 1944
I hereby certify that I attended deceased from 03 September
1944 to
03 September 1944, that I last saw him alive on 03 September
1944, and that death occurred on the date stated above at 5:50
a.m.
Immediate cause of death: Bacillary Dysentery Colitis
Duration: (blank)
Due to: (blank)
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: A. R. Hodge, M.D., Lackey, Ky.
Date signed: 19 March 1945
Transcribed by Debbie Tamborski, 22 November 2010 |