Jerry Bryan's Web Pages

John Thomas Slaton  (image of death certificate)

John Thomas Slaton was the son of Francis Marion (Frank) Slaton and Mary Anne Moore.  As such, he was the nephew of my second great grandmother Susan A. Slaton.



State of California
Department of Health Services

S435     45 047507    District No 1354     Registrar's No 40

3772

1. Full Name --  John Thomas Slaton

2. Place of death
   A. County -- Imperial
   B. City or town --  Holtville   rural
   C. Name of hospital or institution -- 7.5 mi. N.E. of Holtville
      If not hospital or institution, give street address or location
   D. Length of stay
      In hospital or institution --
      In this community  --  41 yrs.
      In California  --  41 yrs.

3. Usual residence of deceased
   A. State -- California     061-18
   B. County -- Imperial
   C. City or town -- Holtville  Rural
   D. Street No -- 7.5 mi. N.E. Holtville
   E. If veteran, name of war --  (left blank)
   F. Social Security number --  (left blank)

4. Sex -- Male

5. Color or race --  White

6. A. Single, married, widowed, or divorced -- married
   B. Name of husband or wife --  Mary Roberta Slaton
   C. Name of husband or wife if alive -- 63 years

7. Birthdate of deceased -- February 7 1876

8. Age 69 yrs 5 mos 20 days

9. Birthplace -- Dandridge Tennessee

10. Usual occupation -- farmer

11. Industry or business --

Father
12. Name --  Francis M. Slaton
13. Birthplace --  unknown

Mother
14. Maiden name -- Mary Moore
15. Birthplace -- Tennessee

16. A. Informant -- Mary Slaton
    B. Address -- 7.5 mi. N.E. Holtville, Calif.

17. A. Burial or Cremation -- Burial
    B. Date -- 7/30/45
    C. Place -- Evergreen Cemetery

18. A. Embalmer's Signature -- A.E. Bowers?  License No. 641
    B. Funeral Director -- Lemons-Wiley Mortuary
       Address -- El Centro, California
       By -- L.E. Wiley

19. A. 7/30/45  Registrar's signature -- Marian W. Hubbell

20. Date of Death -- July 17 1945 12:15 P.M.

21. Medical certificate -- I certify that I attended the deceased
    from July 25, 1945
    to July 27, 1945
    that I last saw him alive
    on July 27, 1945

22. Coronor's certificate

23. If death due to external causes, please fill in the following

24. Physician's signature  --  (unreadable)

I believe the informant Mary Slaton was John Thomas Slaton's daughter.  If so, then Mary Slaton probably never married.





Return to Jerry's Home Page