DEATH
CERTIFICATE
NICK SLONE
Date 12 March 1938
Cert: Original #12302 Duplicate
#14869
Name: Nick SLONE
Place of Death: Voting Pct. #12, Pippapass, Knott Co., KY
Residence: (blank)
Length of residence: (blank)
Male, White, Married
Husband or Wife of: Sussa SLONE
Birth Date: (blank)
Age: 34 years, 04 months, 10 days
Occupation: Printing office
Place of Birth: Raven, Ky.
Name of Father: Sam SLONE
Birthplace Father: Ky.
Maiden Name of Mother: Celinda THORNSBERRY
Birthplace Mother: Ky.
Informant: Miles GIBSON, Dema, Ky.
Death Date: 12 March 1938
Cause of Death: Meningitis from infection, Mastoid
operation
Signed: M. F. Kelley, M.D., Hindman, Ky.
Burial Place: Pippapass
Date of Burial: 13 March 1938
Undertaker: (blank)
File Date: (blank)
Registrar: (blank)
Transcribed by Debbie Tamborski, 01 November 2009 |
|