DEATH CERTIFICATE

JOHN BEUFORD EVERAGE

Date  30 January 1923
Cert: #  2158
Name:  John Beuford EVERAGE
Place of Death: Voting Pct. #6, Knott Co., KY
Male, White, Single
Birth Date:  15 February 1922
Age:  11 months, 16 days
Occupation:  (blank)
Place of Birth:  Knott Co., Ky.
Name of Father:  T. G. EVERAGE 
Birthplace Father:  Knott Co., Ky. 
Maiden Name of Mother:  Clara Bell PARKS
Birthplace Mother:  Knott Co., Ky. 
Informant:  Spencer EVERAGE, Smithsboro
Death Date:  30 January 1923 
Cause of Death:  Flue 
Signed:  J. W. Duke, M.D.
Burial Place:  Tobe Adams 
Date of Burial:  30 January 1923 
Undertaker:  T. G. Everage, Smithsboro 
File Date:  02 February 1923 
Transcribed by Debbie Tamborski, 29 December 2008