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DEATH
CERTIFICATE
MAYNARD SLONE
Date 24 December 1935
Cert: 30792
Name: Maynard SLONE
Place of Death: Voting Pct. Upper Caney,
Pippapass, Knott Co., KY
Residence: (blank)
Length of residence: (blank)
Male, White, Married
Husband or Wife of: Polly SHORT
Birth Date: (blank)
Age: 18 years, 06 months, 15 days
Occupation: Farming
Place of Birth: Pippapass, Kentuck
Name of Father: Morerell SLONE
Birthplace Father: Pippapass, Kentucky
Maiden Name of Mother: Nannie SLONE
Birthplace Mother: Dema, Kentucky
Informant: (blank)
Death Date: 24 December 1935
Cause of Death: (?Lick?) on head bursted his ear
drum. Infection set up in his ear caused cepticema
Signed: N. N. Collins, M.D., Lackey, Ky.
Burial Place: Isom Slone Grave
Date of Burial: 25 December 1935
Undertaker: Virgil Slone, Pippapass, Ky.
File Date: 13 January 1936
Transcribed by Debbie Tamborski, 18 August 2009 |
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