Date: 29 July 1945
Cert: 23983
Place of Death: County: Knott City or
Town: Dema, Ky. Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Dema Rural
Full Name: Nancy SLONE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: Monroe SLONE
Age of husband or wife if alive: 87 years
Birth date of deceased: 10 April 1867
Age: 78 years, 03 months, 19 days
Birthplace: Knott Co., Ky.
Occupation: Housewife
Industry or business: (blank)
Father Name: Miles GIBSON
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Susanna WEBB
Mother Birthplace: Letcher Co., Ky.
Informant: Proctor SLONE, Dema, Ky.
Burial Place: Dema, Ky.
Date: 31 July 1945
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar: 28 November 1945
Registrar's Signature: Rose B. Craft
Date of Death: 29 July 1945
I hereby certify that I attended deceased from 20 March 1945 to
15 March 1945, that I last saw him alive on 15 March 1945, and
that death occurred on the date stated above at 3:00 p.m.
Immediate cause of death: No doctor at time of death.
Reported to have died of heart failure.
Duration: (blank)
Due to: (blank)
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 & Address: J. W. Duke, M.D., Hindman
Date signed: 18 September 1945
Transcribed by Debbie Tamborski, 30 November 2010 |