|
DEATH
CERTIFICATE
COON EVERAGE
Date 04 May 1921
Cert: # 22207
Name: Coon EVERAGE
Place of Death: Voting Pct. #1 Hindman, Knott Co., KY
Female, White, Widow
Birth Date: (blank)
Age: 56 years
Occupation: Housewife
Place of Birth: Kentucky
Name of Father: Solmon EVERAGE
Birthplace Father: Kentucky
Maiden Name of Mother: Elizabeth TURNER
Birthplace Mother: Va.
(Transcriber's note Kentucky scratched out)
Informant: (blank)
Death Date: 04 May 1921
Cause of Death: Malignant sarcoma of the stomach
Signed: M. F. Kelley, M.D.
Burial Place: Amburgey Cemetery
Date of Burial: 05 May 1921
Undertaker: Lize COMBS, Sassafras, Ky.
File Date: 13 October 1921
Transcribed by Debbie Tamborski, 29 December 2008 |
|