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DEATH
CERTIFICATE
TONY SLONE
Date 18 May 1953
Cert: 20322
Place of Death: County: Floyd City or Town:
Allen (Rural)
Length of stay in hospital or community: (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky. County: Knott
City or Town: Raven (Rural)
Full Name: Tony SLONE
Date of Death: 18 May 1953
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 27 December 1889
Age: 73 years
Usual Occupation: Mining
Kind of Industry or business: (blank)
Birthplace: Virginia
Father's Name: Bill SLONE
Mother's Maiden Name: Corsbie GIBSON
Was deceased ever in armed forces: No
Social Security No.: (blank)
Informant: Virgil SMITH
Disease/condition directly leading to death: Cerebral
hemorrhage
Interval between onset and death: (blank)
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from (blank) to
(blank), that I
last saw the deceased alive on (blank), and that death occurred on
the date stated above at (blank), from the causes and on the date
stated above.
Date signed: 17 October 1953
Address: Prestonsburg, Ky.
Signature: J. Sizemore, M.D.
Burial, Cremation or Removal: Burial
Date: 21 May 1953
Name of Cemetery or Creamatory: Miles Gibson Cem.
Location: Raven, Ky.
Date received by local registrar: 19 October 1953
Registrar's Signature: Lucy Ransdell
Funeral director/address: (illegible) Funeral Home,
Martin, Ky.
Transcribed by Debbie Tamborski, 21 February 2010 |
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