DEATH CERTIFICATE

ROACHANBUR SLONE

Date    13 October 1912
Deathvol
Vol:   1913
Cert: # 100
Name: Roachanbur SLONE
Male, White, Single
Age: 11 years, 11 months, 23 days
Place of Death: Voting Pct No. 7, Hollybush, Knott Co., KY
Birth Date: 20 October 1900
Place of Birth: Knott Co., Ky.
Father: Lee SLONE                                                    Birthplace Father: Ky.
Mother: Nancy J. SLONE                                              Birthplace Mother: Ky.
Informant: Lee SLONE
Death Date: 13 October 1912
Cause of Death: Diphtheria
Signed:  J. W. Duke , M.D.
Burial Place: Alice Slone Cemetery
Undertaker: Lee Slone
File Date: 21 January 1913
Transcribed by Debbie Tamborski, 18 June 2008