Date:   29 May 1943
Cert:   15261 
Place of Death: County: Knott     City or Town: Sassafras
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town:  Sassafras
Full Name:  John EVERAGE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of:  Cindy MULLINS
Age of husband or wife if alive:  68 years
Birth date of deceased:  16 August 1876
Age: 66 years, 09 months, 23 days
Birthplace:  Knott Co., Ky.
Occupation:  (blank)
Industry or business: (blank)
Father Name:  Will EVERAGE
Father Birthplace:  Knott Co., Ky.
Mother Maiden Name:  Lucinda MULLINS
Mother Birthplace:  Ky.
Informant: Clifton WATTS, Sassafras, Ky. 
Burial Place:  Sassafras, Ky.
Date:  30 May 1943
Signature of funeral director: Engles Und. Co. sold handles, Hazard, Ky.
Date received by local registrar: 23 March 1945
Registrar's Signature:  Rose B. Craft per B. Carns
Date of Death:  29 May 1943
I hereby certify that I attended deceased from (blank) to (blank), that I last saw him alive on (blank), and that death occurred on the date stated above at 5 p.m.
Immediate cause of death: Apoplexy & Uremic poisoning
Duration: (blank)
Due to: (blank)
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:  23 March 1945
Transcribed by Debbie Tamborski, 23 October 2010