Date: 20 December 1952
Cert: 26317
Place of Death: County: Knott
City or Town: Rural
Length of stay (in this place): 12 years
Street address or location: Carrie, Ky.
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural If rural give
precinct: Carrie, Ky.
Full Name: Arlena EVERAGE
Date of Death: 20 December 1952
Sex, Color or Race, Marital Status: Female, White, Married
Date of Birth: unknown
Age: approx. 45 years
Usual Occupation: Housewife
Kind of Industry or business: Keeping house
Birthplace: Knott Co., Ky.
Father's Name: Eli MESSER
Mother's Maiden Name: unknown
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Joshua EVERAGE
Disease or condition directly leading to death:
Carcinoma of breast & lungs
Interval between onset and death: 10 years
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 11 December
1952 to
20 December 1952, that I last saw the deceased alive on 20
December 1952, and
that death occurred at 2 a.m., from the causes and on the
date stated above.
Date signed: 02 January 1953
Address: Hindman, Ky.
Signature: M. F. Kelley
Burial, Cremation or Removal: Burial
Date: 22 December 1952
Name of Cemetery or Crematory: Combs Cemetery
Location: Carrie, Ky.
Date received by local registrar: 02 January 1953
Registrar's Signature: Rose B. Craft
Funeral director & address: John N. Taul, Hindman
Funeral Home, Hindman, Ky.
Transcribed by Debbie Tamborski, 24 January 2011 |