DEATH CERTIFICATE

MELENA SLONE

Date:  02 May 1955
Cert:  #12146
Place of Death: County: Knott      City or Town: Leburn - Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky.      County:  Knott
City or Town:  Leburn - Rural    Street Address: (blank)
Full Name:  Melena SLONE
Date of Death:  02 May 1955
Sex, Color or Race, Marital Status:  Female, White, Widowed
Date of Birth:  March 1868
Age: 87 years
Usual Occupation:  Housewife
Kind of Industry or business: (blank)
Birthplace:  Letcher Co., Ky.
Father's Name:  (blank)
Mother's Maiden Name:  Vicie THACKER
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  Mrs. (illegible W???ell) MULLINS
Disease or condition directly leading to death:  Disease of the heart and paralysis
Interval between onset and death:  (blank)
Due to:  (blank)
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 January 1955 to 02 May 1955, that I last saw the deceased alive on 10 January 1955, and that death occurred at 7 a.m., from the causes and on the date stated above.
Date signed:  03 (illegible) 1955
Address:  Hindman, Ky.
Signature:  M. F. Kelley, M.D.
Burial, Cremation or Removal: Burial
Date:  03 May 1955
Name of Cemetery or Crematory:   Dyer Cemetery
Location:  Leburn, Ky.
Date received by local registrar: 03 June 1955
Registrar's Signature: Myrtle Slone
Funeral director & address:  John Everage, Hindman, Ky.
Transcribed by Debbie Tamborski, 14 May 2011