Date: 13 January 1946
Cert: 24767
Place of Death: County: Knott City or
Town: Pippapass, Ky. Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Pippapass Rural
Full Name: Rebecca Ann SLONE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Single
Husband or Wife of: None
Age of husband or wife if alive: (blank)
Birth date of deceased: 27 February 1867
Age: 88 years, 10 months, 16 days
Birthplace: Knott Co., Ky.
Occupation: House wife
Industry or business: (blank)
Father Name: Pleasant SLONE
Father Birthplace: Raven, Ky.
Mother Maiden Name: Minerva MARTIN
Mother Birthplace: Raven, Ky.
Informant: Vilora HUFF, Pippapass, Ky.
Burial Place: Raven, Ky.
Date: 14 January 1946
Signature of funeral director: none Friends
Date received by local registrar: December 1946
Registrar's Signature: Rose B. Craft
Date of Death: 13 January 1946
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: Woman was lighting her pipe
and fell over dead
Duration: (blank)
Due to: (blank)
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, Ky.
Date signed: 24 November 1947
Transcribed by Debbie Tamborski, 15 December 2010 |