Date: 17 November 1942
Cert: 27291
Place of Death: County: Knott City or
Town: Lackey
Name of Hospital or Institution: Stumbo Memorial Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.
County: Floyd
City or Town: Garrett
Full Name: Vernie JENKINS
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of: Johnny JENKINS
Age of husband or wife if alive: 32 years
Birth date of deceased: 10 January 1890
Age: 52 years
Birthplace: Johnson Co., Ky.
Occupation: Domestic
Industry or business: (blank)
Father Name: Sol SPRADLIN
Father Birthplace: Johnson Co., Ky.
Mother Maiden Name: Mary GIBBS
Mother Birthplace: Johnson Co., Ky.
Informant: Johny JENKINS, Garrett, Ky.
Burial Place: Denver, Ky.
Date: 19 November
Signature of funeral director: W. J. Ryan, Martin, Ky.
Date received by local registrar: 02 December 1942
Registrar's Signature: Ida Livingston
Date of Death: 17 November 1942
I hereby certify that I attended deceased from 16 November
1942 to
17 November 1942, that I last saw him alive on 17 November
1942, and that death occurred on the date stated above at
11:00 p.m.
Immediate cause of death: Heart failure
Duration: (blank)
Due to: Decompensated Heart Disease
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: C. J. Kelso, M.D., Lackey, Ky.
Date signed: (blank)
Transcribed by Debbie Tamborski, 17 October 2010 |