Date: 25 November 1944
Cert: 13022
Place of Death: County: Knott City or
Town: Hollybush (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: Hollybush (rural)
Full Name: Rosie Fair SLONE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: Isom SLONE
Age of husband or wife if alive: 72 years
Birth date of deceased: November 1878
Age: 66 years
Birthplace: Jacks Creek, Kentucky
Occupation: Housewife
Industry or business: (blank)
Father Name: James THORNSBERRY
Father Birthplace: Jacks Creek, Kentucky
Mother Maiden Name: Nancy CAUDILL
Mother Birthplace: Jacks Creek, Kentucky
Informant: Isom SLONE, Hollybush, Kentucky
Burial Place: Hollybush, Ky.
Date: 25 November 1944
Signature of funeral director: Friends, Hollybush,
Kentucky
Date received by local registrar: (blank)
Registrar's Signature: (blank)
Date of Death: 25 November 1944
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: High blood pressure
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., County Health
Officer, Hindman, Kentucky
Date signed: 13 March 1945
Transcribed by Debbie Tamborski, 22 November 2010 |