Date: 24 January 1953
Cert: 03531
Place of Death: County: Knott
City or Town: Lackey Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: Stumbo Hospital
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural If rural
give location: Porter
Full Name: Manda SLONE
Date of Death: 24 January 1953
Sex, Color or Race, Marital Status: Female, White, Infant
Date of Birth: 24 January 1953
Age: 03 hours
Usual Occupation: None
Kind of Industry or business: None
Birthplace: Stumbo Hospital, Knott Co.
Father's Name: Serbert SLONE
Mother's Maiden Name: Alta CRACE
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Serbert SLONE
Disease or condition directly leading to death: Anoxia
Interval between onset and death: (blank)
Due to: Prolonged labor
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw the deceased alive on (blank), and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: 11 February 1953
Address: Lackey, Ky.
Signature: Curtis G. Wherry, M.D.
Burial, Cremation or Removal: Burial
Date: 27 January 1953
Name of Cemetery or Crematory: Family Cemetery
Location: Porter, Ky.
Date received by local registrar: 16 February 1953
Registrar's Signature: Rose B. Craft
Funeral director & address: John N. Taul, Hindman, Ky.
Transcribed by Debbie Tamborski, 11 February 2011 |