Date: 06 December 1951
Cert: 26637
Place of Death: County: Knott
City or Town: Pippapass
Length of stay (in this place): (illegible)
Street address or location: Rural
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Pippapass Street Address:
(blank)
Full Name: Rachel SLONE
Date of Death: 06 December 1951
Sex, Color or Race, Marital Status: Female, White, (illegible)
Date of Birth: 05 October 1900
Age: 51 years
Usual Occupation: Housewife
Kind of Industry or business: Home
Birthplace: Ky.
Father's Name: (illegible)
Mother's Maiden Name: (illegible) JOHNSON
Was deceased ever in armed forces: (blank)
Social Security No.: None
Informant: Hard SLONE
Disease or condition directly leading to death: Epilepsy
Interval between onset and death: 06 hours
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
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 (blank) to
(blank), that I last saw the deceased alive on (blank), and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: 08 December 1951
Address: Hindman, Ky.
Signature: Jno. N. Taul (Coroner)
Burial, Cremation or Removal: Burial
Date: (illegible)
Name of Cemetery or Crematory: (illegible)
Location: Pippapass, Ky.
Date received by local registrar: 04 January 1952
Registrar's Signature: Rose B. Craft
Funeral director & address: Charles L. Hornsby,
Hindman, Ky.
Transcribed by Debbie Tamborski, 21 January 2011 |