DEATH CERTIFICATE

EARL BEVERLY

Date  04 March 1924
Cert: #  6891
Name:  Earl BEVERLY
Place of Death: Voting Pct. Jones Fork, Knott Co., KY
Male, White, Single
Birth Date:  04 March 1924(transcribed as written)
Age: 19 years
Occupation:  Farming, Truck Farmer
Place of Birth:  Knott Co., Ky.
Name of Father:  Maryland BEVERLY
Birthplace Father:  Ky.
Maiden Name of Mother:  Ceattie GIBSON
Birthplace Mother:  Knott Co., Ky.
Informant:  J. F. COMBS, Mousie
Death Date:  04 March 1924
Cause of Death:  Pulmonary tuberculosis
Signed:  T. J. Chandler, M.D.  
Burial Place:  Martin Branch
Date of Burial:  06 March 1924
Undertaker:  Silas Huff, Mousie
File Date:  29 March 1924
Transcribed by Debbie Tamborski, 10 December 2008