Date: 19 March 1947
Cert: 29129
Place of Death: County: Knott City or
Town: Amburgey, 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: Amburgey Rural
Full Name: Mrs. Sarah CALHOUN SLONE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Widow
Husband or Wife of: Solomon SLONE
Age of husband or wife if alive: Deceased
Birth date of deceased: 21 November 1864
Age: 82 years, 03 months, 28 days
Birthplace: Hindman, Ky.
Occupation: Housewife
Industry or business: (blank)
Father Name: Joe CORNETT
Father Birthplace: Knott County
Mother Maiden Name: Susanna CAUDILL
Mother Birthplace: Rowan Co., Ky.
Informant: Minta SMITH, Hindman, Ky.
Burial Place: Amburgey, Ky.
Date: 20 March 1947
Signature of funeral director: Friends, Amburgey
Date received by local registrar: 09 April 1948
Registrar's Signature: Rose B. Craft
Date of Death: 19 March 1947
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: Congestive Heart failure
Duration: 01 month
Due to: Senility
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: A. B.Pigman, M.D., Allock
Date signed: 31 March 1948
Transcribed by Debbie Tamborski, 20 December 2010 |