DEATH CERTIFICATE

(Stillbirth) SLONE

Date  08 June 1911
Cert: #  15646
Name: (Stillbirth) SLONE
Male, White, Single
Age: Stillborn
Place of Death: Voting Precinct Beaver, Knott Co., KY
Birth Date:  08 June 1911
Occupation:  None
Place of Birth:  Knott Co.
Name of Father:  Ferd SLONE 
Birthplace Father:  Knott Co.
Maiden Name of Mother:  Eliza TERRY
Birthplace Mother:  Knott Co.
Informant:  (blank)
Death Date:  08 June 1911
Cause of Death:  Stillborn premature birth period of utero-gestation between 5 and 6 months
Signed:  Charles Sturgill, M.D.
Burial Place:  Republican, Ky.
Date of Burial:  08 June 1911
Undertaker:  Ferd Slone, Republican, Ky.
File Date:  13 June 1911
Transcribed by Debbie Tamborski, 23 November 2008