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DEATH
CERTIFICATE
SYLVESTER JENT
Date 02 April 1941
Cert: 11094
Place of Death: County: Perry City or Town:
Hazard
Name of Hospital or Institution: Hazard Hospital Co.
Length of stay in hospital or community: 46 days
Usual Residence of Deceased: State: Ky. County:
Perry
City or Town: Lothair
Full Name: Sylvester JENT
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Divorced
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 26 July 1911
Age: 28 years, 08 months, 07 days
Birthplace: Knott Co.
Occupation: Gas Station attendant
Industry or business: (blank)
Father Name: Thomas JENT
Father Birthplace: Knott Co.
Mother Maiden Name: Dicie EVERIDGE
Mother Birthplace: Knott Co.
Informant: Thomas JENT, Lothair, Ky.
Burial Place: Englewood
Date: 02 April 1941
Signature of funeral director: Engle's, Hazard
Date received by local registrar: 10 April 1941
Registrar's Signature: Kathryn S. Johnson
Date of Death: 02 April 1941
I hereby certify that I attended deceased from 05 February
1941 to
02 April 1941, that I last saw him alive on 02 April 1941, and
that death occurred on the date stated above at 11:45 a.m.
Immediate cause of death: Pulmonary Adema
Duration: 02 hours
Due to: Malignant Hypertension, Chronic Nephritis
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: Chris S. Jackson, M.D., Hazard,
Ky.
Date signed: 09 April 1941
Transcribed by Debbie Tamborski, 13 May 2010 |
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