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DEATH
CERTIFICATE
MELVIN SLONE
Date: 25 July 1943
Cert: 15320
Place of Death: County: Floyd City or Town:
Wayland
Street No. or Location: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Floyd
City or Town: Wayland
Full Name: Melvin SLONE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Ana SLONE
Age of husband or wife if alive: 34 years
Birth date of deceased: 10 May 1909
Age: 34 years, 02 months, 15 days
Birthplace: Leburn
Occupation: Mining (Coal)
Industry or business: (blank)
Father Name: Joe SLONE
Father Birthplace: Knot Co.
Mother Maiden Name: Beth REYNOLDS
Mother Birthplace: Knot Co.
Informant: Taulby SLONE, Wayland, Ky.
Burial Place: Leburn, Ky.
Date: 27 July 1943
Signature of funeral director: G. D. Ryan, Martin, Ky.
Date received by local registrar: 31 July 1943
Registrar's Signature: Winifred Norris
Date of Death: 25 July 1943
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on 25 July 1943, and that
death occurred on the date stated above at 10:30 a.m.
Immediate cause of death: Bullet wound through left
chest close to heart
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: Suicide
Date of occurrence: 25 July 1943
Where did injury occur: home
While at work: (blank)
Means of injury: (blank)
Signature & Address: W. J. Ryan, Embalmer, Martin,
Ky.
Date signed: 30 July 1943
Transcribed by Debbie Tamborski, 02 June 2010 |
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