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DEATH
CERTIFICATE
ROSA SLONE WADDELL
Date: 06 February 1952
Cert: 04733
Place of Death: County: Floyd City or Town:
Eastern
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky. County:
Floyd
City or Town: Eastern Street Address: (blank)
Full Name: Rosa SLONE WADDELL
Date of Death: 06 February 1952
Sex, Color or Race, Marital Status: Female, White, Married
Date of Birth: 14 February 1872
Age: 79 years
Usual Occupation: Housewife
Kind of Industry or business: (blank)
Birthplace: Knott Co., Ky.
Father's Name: Newton SLONE
Mother's Maiden Name: Mary HAYES
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Robert WADDELL
Disease or condition directly leading to death: Cardiac
Decompensation
Interval between onset and death: (blank)
Due to: Influenza
Interval between onset and death: 03 weeks
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (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 02 February
1952 to
06 February 1952, that I last saw the deceased alive on (blank), and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: (blank)
Address: Garrett, Ky.
Signature: C. B. Ison
Burial, Cremation or Removal: Burial
Date: 08 February 1952
Name of Cemetery or Crematory: Gayheart
Location: Hueysville, Ky.
Date received by local registrar: 14 March 1952
Registrar's Signature: Lucy Ransdell
Funeral director & address: John C. Hall, Martin,
Ky.
Transcribed by Debbie Tamborski, 12 August 2010 |
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