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DEATH
CERTIFICATE
MARY SLONE
Date: 16 August 1951
Cert: 24426
Place of Death: County: Floyd City or Town:
Craynor
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky. County:
Floyd
City or Town: Craynor Street Address: (blank)
Full Name: Mary SLONE
Date of Death: 16 August 1951
Sex, Color or Race, Marital Status: Female, White, Widowed
Date of Birth: unknown
Age: 77 years
Usual Occupation: (blank)
Kind of Industry or business: (blank)
Birthplace: Knott Co.
Father's Name: Fielding AMBURGY
Mother's Maiden Name: Rachel THORNSBURY
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Mr. Blaine SLONE
Disease or condition directly leading to death:
Carcinoma
Interval between onset and death: (blank)
Due to: (illegible)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
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 10 June 1951 to
16 August 1951, that I last saw the deceased alive on 04 July
1951, and
that death occurred at 7:38 a.m., from the causes and on the
date stated above.
Date signed: 17 December 1951
Address: Drift, Ky.
Signature: Dwayne L. Deal, M.D.
Burial, Cremation or Removal: Burial
Date: 17 August 1951
Name of Cemetery or Crematory: Family
Location: Craynor, Floyd Co., Ky.
Date received by local registrar: 10 January 1952
Registrar's Signature: Lucy Ransdell
Funeral director & address: John C. Hall, Martin,
Ky.
Transcribed by Debbie Tamborski, 31 July 2010 |
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