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DEATH
CERTIFICATE
BURL EVERAGE
Date 10 May 1922
Cert: # 13843
Name: Burl EVERAGE
Place of Death: Voting Pct. #6, Knott Co., KY
Male, White, Child
Birth Date: 27 June 1915
Age: 06 years, 10 months, 03 days
Occupation: none
Place of Birth: Kentucky
Name of Father: Vollie EVERAGE
Birthplace Father: Kentucky
Maiden Name of Mother: Mattie MADDEN
Birthplace Mother: Kentucky
Informant: Spencer EVERAGE, Smithsboro, Ky.
Death Date: 10 May 1922
Cause of Death: Dropsy
Signed: F. C. Roark, M.D.
Burial Place: John Madden's
Date of Burial: 11 May 1922
Undertaker: Vollie Everage, Smithsboro, Ky.
File Date: 10 May 1922
Transcribed by Debbie Tamborski, 29 December 2008 |
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