|
DEATH
CERTIFICATE
ANDY JENT
Date: 05 April 1949
Cert: 07831
Place of Death: County: Letcher City or Town:
Carcassone
Length of stay (in this place): (blank)
Name of Hospital or Institution: at home
Usual Residence of Deceased: State: Ky. County:
Letcher
City or Town: Carcassone Street
Address: Ball Creek
Full Name: Andy JENT
Date of Death: 05 April 1949
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 06 August 1876
Age: 72 years, 07 months, 29 days
Usual Occupation: none
Kind of Industry or business: sick
Birthplace: Hindman, Ky.
Father's Name: Henry JENT
Mother's Maiden Name: Mary GEARHART
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Easter JENT (wife)
Disease or condition directly leading to death:
Malignancy of face & skull
Interval between onset and death: 03 years
Due to: (blank)
Other significant conditions: Toxemia due to Cancerous process
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 time to
time, that I last saw the deceased alive on (blank), and
that death occurred at 11:15 a.m., from the causes and on the
date stated above.
Date signed: 21 April 1949
Address: Whitesburg, Ky.
Signature: R. D. Collins, M.D.
Burial, Cremation or Removal: burial
Date: 07 April 1949
Name of Cemetery or Crematory: Jent Cem.
Location: Carcassone, Ky.
Date received by local registrar: 21 April 1949
Registrar's Signature: E. M. Collins
Funeral director & address: Family, Carcassone, Ky.
Transcribed by Debbie Tamborski, 12 July 2010 |
|