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DEATH
CERTIFICATE
MANFORD SLONE
Date: 09 March 1940
Cert: 10410
Place of Death: County: Knott City or Town:
Lackey
Name of Hospital or Institution: Stumbo Memorial Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Floyd
City or Town: Estill, Ky.
Full Name: Manford SLONE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Margrett SLONE
Age of husband or wife if alive: 65 years
Birth date of deceased: 09 August 1871
Age: 68 years, 05 months, 00 days
Birthplace: Knott Co.
Occupation: (blank)
Industry or business: (blank)
Father Name: John SLONE
Father Birthplace: Knott Co.
Mother Maiden Name: Sallie SLONE
Mother Birthplace: Knott Co.
Informant/Address: L. D. SLONE, Raven, Ky.
Burial Place: Pippapass
Date: 10 March 1940
Signature of funeral director/address: G. D. Ryan, Martin, Ky.
Date received by local registrar: 20 March 1940
Registrar's Signature: Macie Miller
Date of Death: 09 March 1940
I hereby certify that I attended deceased from 08 March 1940 to
09 March 1940, that I last saw him alive on 09 March 1940, and that death
occurred on the date stated above at 10:30 a.m.
Immediate cause of death: Cerebral Hemorrhage
Duration: 02 days
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., Lackey, Ky.
Date signed: 10 March 1940
Transcribed by Debbie Tamborski, 29 August 2010 |
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