************************************************************************ Copyright. All rights reserved. http://www.usgwarchives.net/copyright.htm http://www.usgwarchives.net/ky/kyfiles.html ************************************************************************ 1. PLACE OF DEATH County: BRECKINRIDGE Vot. Pol.: CUSTER Inc Town: BIG SPRING City: No. St. Ward: Registration District No.: 5314 Primary Registration District No: File No. 6006 Registered No: 43 2. FULL NAME: TRENT, JOHN H. PERSONAL AND STATICAL PARTICULARS 3. SEX: MALE 4. COLOR OR RACE: WHITE 5. SINGLE, MARRIED, WIDOWED, OR DIVORCED: WIDOWER 6. DATE OF BIRTH: JUN 14, 1840 7. AGE (yr. mo. da) (If less than 1 day, hours or min?): 72 / 7 / 28 8. OCCUPATION (a.) Trade, profession or particular kind of work: FARMER (b.) General nature of industry business or establishment which employed: 9. BIRTHPLACE: BRECKINRIDGE 10. NAME OF FATHER: PEYTON TRENT 11. BIRTHPLACE OF FATHER: VIRGINIA 12. MAIDEN NAME OF MOTHER: NANCY THORNHILL 13. BIRTHPLACE OF MOTHER: VIRGINIA 14. THE ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE (Informant) JEFF TRENT (Address) CUSTER 15. Filed FEB 13, 1913 REGISTAR: J.T. MITCHAM MEDICAL CERTIFICATE OF DEATH 16. DATE OF DEATH: FEB 12, 1913 17. I HEREBY CERTIFY, That I attended deceased from (date): JAN 23, 1913 to FEB 11, 1913 That I last saw him/her alive on (date): FEB 11, 1913 And that death occurred on the date stated above at (time AM/PM): 12 AM THE CAUSE OF DEATH was as follows: AORTIC STENOSIS (Duration) Years: 2 Months: Days: Contributory: PROSTRATIC [document torn] / UREMIA (Duration) Years: 4 Months: Days: Signed (M.D.): J.W. MEADOR Date: FEB 13, 1913 Address: CUSTER 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: BENNETT BURYING GROUND DATE OF BURIAL: FEB 13, 1913 20. UNDERTAKER: ALF TAYLOR ADDRESS: CUSTER ADDITIONAL COMMENTS/NOTES: ************************************************************************ File contributed for use in USGenWeb Archives by: Dana Brown http://www.genrecords.net/emailregistry/vols/00005.html#0001067 http://www.usgwarchives.net ************************************************************************