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DEATH
CERTIFICATE
ADLINE JENT
Date: 04 January 1952
Cert: 03297
Place of Death: County: Letcher City or Town:
Carcassone
Length of stay (in this place): (blank)
Street Address or Location: Jent Mountain
Usual Residence of Deceased: State: Ky. County:
Letcher
City or Town: Carcassone Street Address: (blank)
Full Name: Adline JENT
Date of Death: 04 January 1952
Sex, Color or Race, Marital Status: Female, White, Widowed
Date of Birth: about 1885? (transcribed as written)
Age: 67 years
Usual Occupation: Housework
Kind of Industry or business: Home
Birthplace: Red Fox, Knott Co., Ky.
Father's Name: Noah JENT
Mother's Maiden Name: Rebecca AMBURGEY
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Fred Jent, relative & neighbor
Disease or condition directly leading to death:
Hypertensive Heart Disease
Interval between onset and death: many weeks
Due to: Cardiac Disorder
Other significant conditions: (from History of investigation)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: no
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 (blank) to
(blank), that I last saw the deceased alive on (blank), and
that death occurred at 3:30 p.m., from the causes and on the
date stated above.
Date signed: 14 February 1952
Address: Whitesburg, Ky.
Signature: R. D. Collins, M.D.
Burial, Cremation or Removal: Burial
Date: 07 January 1952
Name of Cemetery or Crematory: Family Cemetery
Location: Carcassone, Letcher Co., Ky.
Date received by local registrar: 14 February 1952
Registrar's Signature: G. W. Collins
Funeral director & address: Family, Carcassone, Ky.
Transcribed by Debbie Tamborski, 11 August 2010 |
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