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DEATH
CERTIFICATE
SOL SLONE
Date 26 October 1942
Cert: 21836
Place of Death: County: Floyd City or Town:
Dema
Street No. or Location: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Floyd
City or Town: Dema
Full Name: Sol SLONE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Widowed
Husband or Wife of: Oma SLONE
Age of husband or wife if alive: (blank)
Birth date of deceased: (blank)
Age: 77 years
Birthplace: Knott Co., Ky.
Occupation: Farmer & Merchant
Industry or business: (blank)
Father Name: Tandy SLONE
Father Birthplace: (blank)
Mother Maiden Name: Anna SAMMONS
Mother Birthplace: Floyd Co., Ky.
Informant: R. T. SLONE, Dema, Ky.
Burial Place: Dema, Ky.
Date: 28 October 1942
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar: 04 November 1942
Registrar's Signature: Winifred Norris
Date of Death: 26 October 1942
I hereby certify that I attended deceased from 20 February
1942 to
25 August 1942, that I last saw him alive on 25 August 1942,
and that death occurred on the date stated above at 8 p.m.
Immediate cause of death: Ca. of Head & Neck
Duration: 05 years
Due to: Ca. of Head & Neck
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: C. B. Ison, M.D., Garrett, Ky.
Date signed: 04 November 1942
Transcribed by Debbie Tamborski, 28 May 2010 |
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