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DEATH
CERTIFICATE
MELTON SLONE
Date 19 January 1947
Cert: 00650
Place of Death: County: Fayette City or Town: Lexington
Name of Hospital or Institution: Eastern State Hospital
Length of stay in hospital or community: 02 months, 27 days
Usual Residence of Deceased: State: Kentucky County: Knott
City or Town: Mollie [sic]
Full Name: Melton SLONE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Eva SLONE
Age of husband or wife if alive: (blank)
Birth date of deceased: 1892
Age: 54 years
Birthplace: Knott County, Kentucky
Occupation: Farmer
Industry or business: (blank)
Father Name: Unknown
Father Birthplace: "
Mother Maiden Name: "
Mother Birthplace: "
Informant: Hospital Records, Lexington, Ky.
Burial Place: Mollie, Ky. [sic]
Date: 21 January 1947
Signature funeral director: Lowe F. Home by Merritt Martin,
Lex., Ky.
Date received by local registrar: 27 January 1947
Registrar's Signature: D. A. Furlong
Date of Death: 19 January 1947
I hereby certify that I attended deceased from 22 November
1947 [sic] to 19 January 1947, that I last saw him alive on 19
January 1947, and that death occurred on the date stated above
at 4:36 p.m.
Immediate cause of death: Lobar right base pneumonia
Duration: 09 days
Due to: Carcinoma, Gastric undetermined
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: W. W. (illegible), M.D., East.
State Hosp., Lexington, Ky.
Date signed: 19 January 1947
Transcribed by Debbie Tamborski, 13 February 2010 |
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