1. PLACE OF DEATH
County:  BRECKINRIDGE
Vot. Pol.:  12
Inc Town:  
City:  IRVINGTON
No.  
St.  
Ward:
Registration District No.:  5312
Primary Registration District No:  
File No.  39827
Registered No:  
2. FULL NAME:  MINTER, EMMA G.
PERSONAL AND STATICAL PARTICULARS
3. SEX:  FEMALE
4. COLOR OR RACE:  WHITE
5. SINGLE, MARRIED, WIDOWED, OR DIVORCED:  MARRIED
6. DATE OF BIRTH:  MARCH 1, 1863
7. AGE  (yr. mo. da) (If less than 1 day, hours or min?):  57 YR 9 MO 14 DA
8. OCCUPATION (a.) Trade, profession or particular kind of work:  HOUSEWIFE
(b.)  General nature of industry business or establishment which employed:  
9. BIRTHPLACE:  KY
10. NAME OF FATHER:  JAMES TRENT
11. BIRTHPLACE OF FATHER:  KY
12. MAIDEN NAME OF MOTHER:  ELIZABETH RHODES
13. BIRTHPLACE OF MOTHER:  KY
14. THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
(Informant)  
(Address)  
15. Filed  DEC. 15, 1914
REGISTRAR:  SUE C. JOLLY
MEDICAL CERTIFICATE OF DEATH
16. DATE OF DEATH:  DEC. 15, 1914
17. I HEREBY CERTIFY, That I attended deceased from (date):  DEC. 10, 1914
That I last saw him/her alive on (date):  DEC. 15, 1914
And that death occurred on the date stated above at (time AM/PM):  11:29 AM
THE CAUSE OF DEATH was as follows:  DIABETES

(Duration)   Years:            Months:           Days:  	
Contributory:  DIABETIC COMA

(Duration)   Years:            Months:            Days:  3
Signed (M.D.):  L. B. MOORMAN
Date:  DEC. 13, 1914
Address:  IRVINGTON, KY
18. LENGTH OF RESIDENCE (For Hospitals, Institutions, Transients, or Recent Residents)
At place of death (yr, mo, da.):  
In the State (yr, mo, da):  
Where was disease contracted,  if not at place of death?  
Former or usual residence:  
19. PLACE OF BURIAL OR REMOVAL:  CEDAR HILL
DATE OF BURIAL:  DEC. 16, 1914
20. UNDERTAKER:  G. T. MARSHALL
ADDRESS:  IRVINGTON