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DEATH
CERTIFICATE
ROSE SLONE
VAUGHAN
Date 02 November 1939
Cert: 26497
Place of Death: County: Boyd City or
Town: Catlettsburg
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Boyd
City or Town: Catlettsburg Street No.:
2404 Front
Full Name:
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of: Earl VAUGHAN
Age of husband or wife if alive: 46 years
Birth date of deceased: (blank)
Age: about 28 years
Birthplace: Knott Co., Ky.
Occupation: House Keeper
Industry or business: Own Home
Father Name: Bee SLONE
Father Birthplace: Ky.
Mother Maiden Name: Nan SLONE
Mother Birthplace: KY.
Informant: Mrs. Lace GRAHAN, Catlettsburg, Ky.
Burial Place: Catlettsburg Cem.
Date: 04 November 1939
Signature of funeral director: Kilgore & Collier,
Catlettsburg, Ky.
Date received by local registrar: 06 November 1939
Registrar's Signature: Mrs. C. R. Gartin
Date of Death: 02 November 1939
I hereby certify that I attended deceased from (blank) to saw
her dead, that I last saw him alive on 02 November 1939, and
that death occurred on the date stated above at 8:45 p.m.
Immediate cause of death: Burned to death in the house
(illegible)
Duration: (blank)
Due to: Accidental
Major findings of operations: (blank)
Accident, suicide, or homicide: Accident - Trapped in house
while asleep
Date of occurrence: (blank)
Where did injury occur: in home
While at work: (blank)
Means of injury: (blank)
Signature & Address: J. C. Hall, M.D., Ashland, Ky.
Date signed: 06 November 1939
Transcribed by Debbie Tamborski, 05 May 2010 |
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