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DEATH
CERTIFICATE
MALISSIE JANE SLONE
Date 26 October 1940
Cert: 26659
Place of Death: County: Letcher City or Town: Cromona (mining
camp)
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: 1 month
Usual Residence of Deceased: State: Kentucky County: Knott
City or Town: Hindman (Rural)
Full Name: Malissie Jane SLONE
If Veteran Name War: No
Social Security No.: No
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of: Nick SLONE
Age of husband or wife if alive: 79
Birth date of deceased: 1864
Age: 76 years
Birthplace: Knott County
Occupation: Housework
Industry or business: At home
Father Name: Ben RICHIE
Father Birthplace: Kentucky
Mother Maiden Name: ? COMBS
Mother Birthplace: Kentucky
Informant: Clifford SLONE, Cromona, Ky.
Burial Place: Hindman
Date: 29 October 1940
Signature of funeral director: D. F. Burke, Whitesburg,
Ky.
Date received by local registrar: (blank)
Registrar's Signature: E. M. Collins
Date of Death: 26 October 1940
I hereby certify that I attended deceased from 01 October 1940
to 26 October 1940, that I last saw her alive on 26 October
1940, and that death occurred on the date stated above at 10
p.m.
Immediate cause of death: Myocardial failure
Due to: Chronic Nephritis & Hypertension
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: A. B. Carter, M.D., Cromona, Ky.
Date signed: 07 November 1940
Transcribed by Debbie Tamborski, 31 January 2010 |
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