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DEATH
CERTIFICATE
Mrs. MAGGIE JENT
Date 15 December 1943
Cert: 16638
Place of Death: County: Letcher City or Town:
Carcassone
Street No. or Location: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Letcher
City or Town: Carcassone
Full Name: Mrs. Maggie JENT
If Veteran Name War: none
Social Security No.: none
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of: Thomas JENT
Age of husband or wife if alive: 65 years
Birth date of deceased: 1886
Age: 57 years, ? months, ? days [sic]
Birthplace: Smithsboro, Ky. (Knott Co.)
Occupation: Midwifery
Industry or business: Midwife
Father Name: Jerry SMITH
Father Birthplace: Smithsboro, Ky.
Mother Maiden Name: Polly COLLINS
Mother Birthplace: Smithsboro, Ky.
Informant: Thomas JENT (husband), Carcassone, Ky.
Burial Place: Carcassone, Ky.
Date: 16 December 1943
Signature of funeral director: family & friends, Carcassone,
Ky.
Date received by local registrar: 03 August 1944
Registrar's Signature: E. M. Collins
Date of Death: 15 December 1943
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at 4 a.m.
Immediate cause of death: Cardiac failure
Duration: (blank)
Due to: Died suddenly while on a confinement case
Other conditions: (from history of husband)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: R. D. Collins, M.D., Whitesburg,
Ky.
Date signed: 03 August 1944
Transcribed by Debbie Tamborski, 31 May 2010 |
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