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DEATH
CERTIFICATE
NANCY JOHNSON
SLONE
Date 23 September 1939
Cert: 24656
Place of Death: Voting Pct. Lackey 33, Floyd Co., Ky.
Full Name: Nancy JOHNSON SLONE
Residence: Lackey, Ky.
Length of Residence: (blank)
Sex, Color or Race, Marital Status: Female, White,
(Blank)
Husband or Wife of: (blank)
Date of Birth: 16 April 1855
Age: 85 years, 05 months, 22 days
Occupation: House Keeper
Birthplace: Knott Co.
Father Name: Jim SLONE
Birthplace Father: Knott Co.
Mother Maiden Name: Frankie SMITH
Birthplace Mother: Knott Co.
Informant/Address: Nancy Ann HICKS
Burial Cremation Removal Place: (illegible)
Date: (blank)
Undertaker/Address: Alex Allen, Allen, Ky.
Filed: 05 October 1939
Registrar: Mrs. Ben Norris
Death of Date: 23 September 1939
I hereby certify, That I attended deceased from 19 September
1939 to 21 September 1939, that I last saw her alive on 22
September 1939, death is said
to have occurred on the date stated above, at (blank)
Cause of Death: Acute Nephritis
Date of onset: (blank)
Contributory causes: Age
Name of operation: none
Accident, suicide, homicide: (blank)
Date of Injury: (blank)
Where did injury occur: (blank)
Specify whether injury occurred industry, home, public place:
Manner of injury: (blank)
Nature of injury: (blank)
Related to occupation: (blank)
Signed/Address: T. J. Chandler, M.D., Lackey, Ky.
Transcribed by Debbie Tamborski, 05 May 2010 |
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