DEATH CERTIFICATE

BEN JACK EVERAGE

Date:    26 January 1946
Cert:    04584 
Place of Death: County: Knott   City or Town: Amburgey, Ky.   Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky   County: Knott
City or Town:  Amburgey     Rural 
Full Name:   Ben Jack EVERAGE
If Veteran Name War: (blank)
Social Security No.:  (blank)
Sex, Color or Race, Marital Status:  Male, White, Married
Husband or Wife of:  Lizzie MULLINS
Age of husband or wife if alive: 63 years
Birth date of deceased:  08 October 1884 
Age:  61 years, 03 months, 18 days
Birthplace:  Amburgey, Ky. 
Occupation:  Farmer 
Industry or business:  Farm
Father Name:  Adam JOHNSON 
Father Birthplace:  Amburgey, Ky. 
Mother Maiden Name:  Millie WATTS 
Mother Birthplace:   Knott Co., Ky. 
Informant:   Tom his X mark BEVELRY, Anco, Ky.
Burial Place:   Mary Franklin Cemetery 
Date:  28 January 1946 
Signature of funeral director:  Friends, Amburgey, Ky.
Date received by local registrar: 12 February 1946 
Registrar's Signature:  Mrs. Rose B. Craft
Date of Death:  26 January 1946 
I hereby certify that I attended deceased from 20 January 1946 to 25 January 1946, that I last saw him alive on 25 January 1946, and that death occurred on the date stated above at 3:00 a.m.
Immediate cause of death:  Cardiac insufficiency  
Duration: (blank)
Due to:  Hypoglycemia in diabetic condition (mellitus & insipidus combined)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work:  (blank)
Means of injury: (blank)
Signature & Address:  J. R. Aker, M.D., Anco, Ky.
Date signed:  09 February 1946 
Transcribed by Debbie Tamborski, 07 December 2010