Date: 15 April 1954
Cert: 26470
Place of Death: County: Knott
City or Town: Cody - Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Cody - Rural If rural give
location:
(blank)
Full Name: Phoeba SLONE
Date of Death: 15 April 1954
Sex, Color or Race, Marital Status: Female, White,
Married
Date of Birth: 06 March 1890
Age: 64 years
Usual Occupation: Housewife
Kind of Industry or business: (blank)
Birthplace: Knott Co., Ky.
Father's Name: W. J. MADDEN
Mother's Maiden Name: Louisa COMBS
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Hazard SLONE
Disease or condition directly leading to death: Cancer of
stomach
Interval between onset and death: 01 year
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 01 March 1954 to
15 April 1954, that I last saw the deceased alive on 14 April
1954, and
that death occurred at 6 a.m., from the causes and on the
date stated above.
Date signed: 10 May 1954
Address: Allock
Signature: A. B. Pigman, M.D.
Burial, Cremation or Removal: Burial
Date: 18 April 1954
Name of Cemetery or Crematory: Stamper Cemetery
Location: Carr Creek, Ky.
Date received by local registrar: 24 February 1955
Registrar's Signature: Myrtle Slone
Funeral director & address: John Everage, Hindman,
Ky.
Transcribed by Debbie Tamborski, 23 February 2011 |