| Contact Information | |
|---|---|
| First Name | Jeanne |
| Last Name | Smith |
| Address | Box 656 |
| City | Okarche |
| State | OK |
| Province | |
| Zip/Postal Code | 73762 |
| Country | United States |
| jeannesmith03@pldi.net | |
| Alternate Email | |
| Website Address | |
| Gender | Female |
| Injury Information | |
| The injured person is | Self |
| Name of Injured | Jeanne - Smith |
| Date of Injury | 01/16/1947 |
| Type of Injury | Obstetric |