Date: 26 January 1953
Cert: 01271
Place of Death: County: Knott
City or Town: Garner
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Garner If rural give
location:
(blank)
Full Name: Mary Ellen SLONE
Date of Death: 26 January 1953
Sex, Color or Race, Marital Status: Female, White, Single
Date of Birth: 15 May 1912
Age: 41 years
Usual Occupation: (blank)
Kind of Industry or business: (blank)
Birthplace: Knott Co., Ky.
Father's Name: Reese SLONE
Mother's Maiden Name: Belle SLONE
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Robert SLONE
Disease or condition directly leading to death: Disease of
heart
Interval between onset and death: (blank)
Due to: and Influenza
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 10 February
1952 to
26 January 1953, that I last saw the deceased alive on 10
September 1952, and
that death occurred at 1 a.m., from the causes and on the
date stated above.
Date signed: 26 January 1953
Address: Hindman, Ky.
Signature: M. F. Kelley
Burial, Cremation or Removal: Burial
Date: 28 January 1953
Name of Cemetery or Crematory: Slone Fork Cemetery
Location: Garner, Ky.
Date received by local registrar: 30 January 1953
Registrar's Signature: Rose B. Craft
Funeral director & address: John Everage, Hindman,
Ky.
Transcribed by Debbie Tamborski, 11 February 2011 |