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DEATH
CERTIFICATE
MADGE SLONE
Date: 10 September 1948
Cert: 20405
Place of Death: County: Floyd
City or Town: Garrett
Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Floyd
City or Town: Garrett
Full Name: Madge SLONE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of: Tolby SLONE
Age of husband or wife if alive: 38 years
Birth date of deceased: 08 July 1909
Age: 39 years
Birthplace: Leburn, Ky.
Occupation: (blank)
Industry or business: House
Father Name: Alex CHILDERS
Father Birthplace: Leburn, Ky.
Mother Maiden Name: Mary SHORT
Mother Birthplace: Leburn, Ky.
Informant: Tolby SLONE, Garrett, Ky.
Burial Place: Garner, Ky.
Date: 12 September 1948
Signature of funeral director: G. D. Ryan, Martin, Ky.
Date received by local registrar: 26 October 1948
Registrar's Signature: Lucy Ransdell
Date of Death: 10 September 1948
I hereby certify that I attended deceased from 10 August 1948 to
September 1948, that I last saw him alive on 09 September 1948, and that death
occurred on the date stated above at 6:15 a.m.
Immediate cause of death: Pulmonary T. B.
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: C. B. Ison, M.D., Garrett, Ky.
Date signed: 24 October 1948
Transcribed by Debbie Tamborski, 01 July 2010 |
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