Date:   28 January 1942
Cert:   04241 
Place of Death: County: Knott     City or Town: (blank)
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky   County: (blank)
City or Town:  (blank)
Full Name:  Manda SLONE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Married
Husband or Wife of:  Ballard SLONE
Age of husband or wife if alive:  (blank)
Birth date of deceased:  15 August 1908
Age: 33 years, 05 months, 13 days
Birthplace:  Leburn
Occupation:  Housewife
Industry or business: (blank)
Father Name:  Clifton MOSLEY
Father Birthplace:  McDowl, Floyd County
Mother Maiden Name:  Rutha SHORT
Mother Birthplace:  Ravin, Knott County
Informant:  Phebie SLONE, Garner
Burial Place:  (blank)
Date:  (blank)
Signature of funeral director: (blank)
Date received by local registrar:  (blank)
Registrar's Signature:  (blank)
Date of Death:  28 January 1942
I hereby certify that I attended deceased from (blank) to (blank), that I last saw him alive on (blank), and that death occurred on the date stated above at (blank)
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:  J. W. Duke, M.D., Hindman, Ky.
Date signed:  13 February 1942
Transcribed by Debbie Tamborski, 18 October 2010