DEATH CERTIFICATE
Inf. of BEECH EVERAGE

Date 04 August 1939
Cert:  10422
Name:  Inf. of Beech EVERAGE
Place of Death:  County:  Knott    City or Town:  Rural
Residence: Knott Co., KY     City or Town:  (Rural) Anco #20
White
Husband or Wife of: (blank)
Birth Date:  04 August 1939
Age:  09 hours
Place of Birth:  Anco, Ky.   
Occupation:  Infant
Name of Father:   Beech EVERAGE 
Birthplace Father:  Ky. 
Maiden Name of Mother:  Marie PERVIS
Birthplace Mother:  Ky. 
Informant:  (blank) 
Death Date:  04 August 1939 
Cause of Death:  Prematurity  Due to:  (illegible)
Signed:  (illegible), M.D., (illegible), Ky.
Burial Place:  (blank) 
Date of Burial:  August 1939 
Undertaker:  Family, Anco, Ky.
File Date:  28 February 1940 
Registrar:  Macie Miller per B. Carns 
Transcribed by Debbie Tamborski, 10 November 2009