DEATH CERTIFICATE

 MARION SLONE

Date:   13 October 1942
Cert:   01854 
Place of Death: County: Knott     City or Town: Lackey
Name of Hospital or Institution: Stumbo Mem. Hosp.
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town:  Raven
Full Name:  Marion SLONE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status:  Male, White, Single
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:  14 February 1939
Age: 03 years, 07 months, 29 days
Birthplace:  Raven, Ky.
Occupation:  (blank)
Industry or business: (blank)
Father Name:  Lema SLONE
Father Birthplace:  Knott Co., Ky.
Mother Maiden Name:  Melda MOSELY
Mother Birthplace:  Knott Co., Ky.
Informant:  Lema SLONE, Raven, Ky.
Burial Place:  Raven, Ky.
Date:  15 October 1942
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar:  05 January 1943
Registrar's Signature:  Ida Livingston
Date of Death:  13 October 1942
I hereby certify that I attended deceased from 12 October 1942 to 13 October 1942, that I last saw him alive on 13 October 1942, and that death occurred on the date stated above at 3:00 a.m.
Immediate cause of death: Pneumonia
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: C. J. Kelso, M.D.
Date signed:  (blank)
Transcribed by Debbie Tamborski, 18 October 2010