DEATH CERTIFICATE

JENA PERKINS

Date  30 January 1921
Cert: #  1624 
Name:  Jena PERKINS 
Place of Death: Voting Pct., Knott Co., KY
Female, White, Married
Birth Date:  06 June 1878 
Age: 42 years, 07 months, 20 days
Occupation:  Housewife
Place of Birth:  Kentucky
Name of Father:  Nick EVEREDGE 
Birthplace Father:  Kentucky 
Maiden Name of Mother:  Easter HOWARD
Birthplace Mother:  Kentucky 
Informant:  (blank)
Death Date:  30 January 1921 
Cause of Death:  Tuberculosis of the lungs 
Signed:  M. F. Kelley, M.D.
Burial Place:  Martin Cemetery 
Date of Burial:  31 January 1921 
Undertaker:  Charley Perkins, Carrie, Ky. 
File Date:  11 February 1921 
Transcribed by Debbie Tamborski, 28 January 2009