|
DEATH
CERTIFICATE
JOSEPH EVERAGE
Date 10 May 1948
Cert: 10946
Place of Death: County: Perry City or Town: Hazard
Name of Hospital or Institution: Hurst-Snyder
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County: Knott
City or Town: Hindman
Full Name: Joseph EVERAGE
If Veteran Name War: World War I
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Elvera EVERAGE
Age of husband or wife if alive: 73 years
Birth date of deceased: 11 May 1875
Age: 72 years, 04 months, 29 days
Birthplace: Knott
Occupation: Soldier
Industry or business: (blank)
Father Name: William EVERAGE
Father Birthplace: Knott
Mother Maiden Name: Amilia WALKER
Mother Birthplace: Knott
Informant: Mrs. Elvera EVERAGE, Hindman, Ky.
Burial Place: Knott
Date: 12 May 1948
Signature of funeral director: Engle's, Hazard, Ky.
Date received by local registrar: 24 May 1948
Registrar's Signature: Cleata D. Cox
Date of Death: 10 May 1948
I hereby certify that I attended deceased from 01 May 1948 to
10 May 1948, that I last saw him alive on 10 May 1948, and
that death occurred on the date stated above at 1:10 a.m.
Immediate cause of death: Hypostatic Pneumonia
Duration: 03 days
Due to: Coronary Heart
Duration: 02 years
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: (illegible) B. Snyder, M.D., Hazard, Ky.
Date signed: 14 May 1948
Transcribed by Debbie Tamborski, 14 February 2010 |
|