Date: 18 August 1941
Cert: 20356
Place of Death: County: Knott Co. City or
Town: Dema, Ky.
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Floyd
City or Town: Dema, Ky. Rural
Full Name: Milton SLONE
If Veteran Name War: (blank)
Social Security No.: 403-89-6506
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Dora SLONE
Age of husband or wife if alive: 33 years
Birth date of deceased: 16 November 1903
Age: 38 years, 09 months, 02 days
Birthplace: Dema, Ky.
Occupation: Miner
Industry or business: Elkhorn Coal Corporation
Father Name: John W. SLONE
Father Birthplace: Dema
Mother Maiden Name: Marry SLONE
Mother Birthplace: Grethel, Ky.
Informant: Beckom SLONE, Martin, Ky.
Burial Place: Dema, Ky.
Date: 20 August 1941
Signature of funeral director: O. T. Lemaster, Martin, Ky.
Date received by local registrar: 30 August 1941
Registrar's Signature: Phena Slone
Date of Death: 18 August 1941
I hereby certify that I attended deceased from 18 August 1941 to
18 August 1941, that I last saw h-- alive on 18 August 1941,
and that death occurred on the date stated above at 12:45
Immediate cause of death: gun shot
Duration: (blank)
Due to: through heart by 12 gage shot gun
Major findings of operations: (blank)
Accident, suicide, or homicide: Suicide
Date of occurrence: 18 August 1941
Where did injury occur: home
While at work: no
Means of injury: gun shot
Signature & Address: O. T. Lemaster, F. D., Martin,
Ky.
Date signed: 18 August 1941
Transcribed by Debbie Tamborski, 15 October 2010 |