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DEATH
CERTIFICATE
VELMA GLEE SLONE
Date 16 July 1936
Cert: 18182
Place of Death: Voting Pct.: Beaver Valley Hosp.,
Martin, Floyd Co., Ky.
Full Name: Velma Glee SLONE
Residence: Garner, Ky.
Length of Residence: (blank)
Sex, Color or Race, Marital Status: Female, White,
Infant
Husband or Wife of: (blank)
Date of Birth: 21 April 1937
Age: 03 months
Occupation: Infant
Birthplace: Knott Co., Ky.
Father Name: Perry SLONE
Birthplace Father: Knott Co., Ky.
Mother Maiden Name: Lissie HONACUTT
Birthplace Mother: Knott Co., Ky.
Informant/Address: Perry SLONE, Garner, Ky.
Burial Cremation Removal Place: Garner
Date: 17 July 1937
Undertaker/Address: E. P. Arnold, Prestonsburg, Ky.
Filed: 16 July 1937
Registrar: W. M. Griffith
Death of Date: 16 July 1937
I hereby certify, That I attended deceased from 16 July 1937 to
17 July 1937, that I last saw her alive on 17 July 1937, death
is said to have occurred on the date stated above, at 10:15
a.m.
Cause of Death: Enterocolitis (Etiology)
Date of onset: 10 July 1937
Contributory causes: (blank)
Name of operation: (blank)
Accident, suicide, homicide: (blank)
Date of Injury: (blank)
Where did injury occur: (blank)
Specify whether injury occurred industry, home, public place:
Manner of injury: (blank)
Nature of injury: (blank)
Related to occupation: (blank)
Signed/Address: J. R. Allen, M.D., Martin, Ky.
Transcribed by Debbie Tamborski, 21 April 2010 |
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