DEATH CERTIFICATE

MANDA SLONE

Date  18 January 1917
Cert: #  1973
Name:  Manda SLONE
Female, White, Married
Age: 33 years, 01 months, 22 days
Place of Death: Voting Precinct #8 Jones Fork, Knott Co., KY
Birth Date:  22 February 1884
Occupation:  Housewife
Place of Birth:  Ky.
Name of Father:  (transcriber note: ?Ike?) GIBSON
Birthplace Father:  Ky.
Maiden Name of Mother: Peg WALLEN
Birthplace Mother:  Ky.
Informant:  (blank)
Death Date:   18 January 1917
Cause of Death:   Puerpural septicemia
Signed:  T. J. Chandler, M.D.
Burial Place:  (blank)
Date of Burial:  (blank)
Undertaker:  (blank)
File Date:  19 January 1917
Transcribed by Debbie Tamborski, 21 November 2008