Date: 23 April 1944
Cert: 13021
Place of Death: County: Knott City or
Town: Pippapass
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Pippapass
Full Name: Nancy SLONE (Mrs. Reece)
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Widowed
Husband or Wife of: Reece SLONE
Age of husband or wife if alive: (blank)
Birth date of deceased: 30 August 1885
Age: 58 years,07 months, 23 days
Birthplace: Pippapass
Occupation: (blank)
Industry or business: (blank)
Father Name: Isom SLONE
Father Birthplace: Floyd Co., Ky.
Mother Maiden Name: (blank)
Mother Birthplace: Floyd Co., Ky.
Informant: Billie SLONE, Pippapass, Ky.
Burial Place: Slone Cemetery
Date: 25 April 1944
Signature of funeral director: Friends, Pippapass, Ky.
Date received by local registrar: 07 April 1945
Registrar's Signature: Rose B. Craft Acting Per B. Carns
Date of Death: 23 April 1944
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at (blank)
Immediate cause of death: (illegible) Pneumonia
Duration: (blank)
Due to: Flue
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: 07 April 1945
Transcribed by Debbie Tamborski, 22 November 2010 |