DEATH CERTIFICATE

(Stillbirth) SLONE

Date  23 April 1921
Cert: #  08397 
Name:  (Stillbirth) SLONE
Place of Death: Voting Pct. #9 Ball, Knott Co., KY
Male, White
Birth Date:  23 April 1921 
Age:  Stillbirth
Occupation:  (blank) 
Place of Birth:  (blank)
Name of Father:  Riley SLONE 
Birthplace Father:  Knott 
Maiden Name of Mother:  Polly A. HICKS
Birthplace Mother:  Knott Co., Ky. 
Informant:  Jane HICKS, Yal Mt., Ky.
Death Date:  23 April 1921
Cause of Death:  Stillbirth 
Signed:  Jane Hicks, M.D.
Burial Place:  (blank) 
Date of Burial:  24 April 1921 
Undertaker:  (blank) 
File Date:  30 April 1921 
Transcribed by Debbie Tamborski, 16 February 2009