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DEATH
CERTIFICATE
WINSTON SLONE
Date 25 April 1939
Cert: 11173
Place of Death: Voting Pct.: State Reformatory Hospital,
La Grange, Oldham Co., Ky.
Full Name: Winston SLONE
Residence: State Reformatory
Length of Residence: 02 years
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Callie SLONE
Date of Birth: 24 September 1885
Age: 53 years, 07 months, 01 days
Occupation: Farmer
Birthplace: Knott Co. Ky.
Father Name: ?
Birthplace Father: ?
Mother Maiden Name: ?
Birthplace Mother: ?
Informant/Address: Prs. record
Burial Cremation Removal Place: Removal - Hindman, Ky.
Date: 27 April 1939
Undertaker/Address: Engle Funeral Home, Hazard, Ky.
Filed: 04 May 1939
Registrar: S. S. Blayder
Death of Date: 25 April 1939
I hereby certify, That I attended deceased from 31 March 1939 to
25 April 1939, that I last saw him alive on 25 April 1939, death is said
to have occurred on the date stated above, at 10:00 p.m.
Cause of Death: Common Cold 28 March 1939 - Acute
tonsillitis 05 April 1939 - Acute Myelegenous Leukemia 16
April 1939
Date of onset: (blank)
Contributory causes: (blank)
Name of operation: none
What test confirmed diagnosis: Blood examination
Was there an autopsy: No
Where did injury occur: (blank)
Specify whether injury occurred industry, home, public place:
Manner of injury: (blank)
Nature of injury: (blank)
Related to occupation: no
Signed/Address: S. S. Baker, M.D., LaGrange, Ky.
Transcribed by Debbie Tamborski, 05 May 2010 |
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