DEATH CERTIFICATE

PATSEY SLONE

Date  19 January 1926
Cert: #  02031 
Name:  Patsey SLONE 
Place of Death: Voting Pct. Pippapass, Knott Co., KY
Female, White, Single
Birth Date:  14 January 1922
Age:  03 years, 00 months, 05 days
Occupation:  Nothing
Place of Birth:  Knott Co., Ky.
Name of Father:  Billie SLONE 
Birthplace Father:  Kentucky 
Maiden Name of Mother: Mirs WATSON
Birthplace Mother:  Knott Co., Ky. 
Informant:   (blank)
Death Date:  19 January 1926 
Cause of Death:  Influenza followed by lobar pneumonia 
Signed:  M. F. Kelley, M.D.
Burial Place:  Slone Cemetery 
Date of Burial:  20 January 1926 
Undertaker:  Billie Slone, Pippapass, Ky. 
File Date:  (blank) 
Transcribed by Debbie Tamborski, 16 February 2009