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DEATH
CERTIFICATE
LAWERANCE EVERAGE
Date 24 November 1950
Cert: 24667
Place of Death: County: Fayette City or Town: Lexington
Length of stay in hospital or community: (blank)
Name of Hospital or Institution: Good Samaritan
Usual Residence of Deceased: State: Ky. County: Knott
City or Town: Rural Location: Hindman, Ky.
Full Name: Lawerance EVERAGE
Date of Death: 24 November 1950
Sex, Color or Race, Marital Status: Male, White, Never married
Date of Birth: 13 March 1937
Age: 13 years
Usual Occupation: None
Kind of Industry or business: (blank)
Birthplace: Knott Co., Ky.
Father's Name: Alton EVERAGE
Mother's Maiden Name: Nancy CORNETT
Was deceased in ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Alton EVERAGE
Disease or condition directly leading to death: Astrocytoma,
4th ventricle
Interval between onset and death: 02 years
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: 08 November 1950
Major findings for operation: as above on 2 occasions
Autopsy: Yes
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from August 1949 to
24 November 1950, that I last saw the deceased alive on 24
November 1950, and that death occurred on the date stated
above at 8:55 p.m., from the causes and on the date stated
above.
Date signed: 30 November 1950
Address: 109 (illegible), Lexington, Ky.
Signature: Ralph J. (illegible), M.D.
Burial, Cremation or Removal: Burial
Date: 28 November 1950
Name of Cemetery or Creamatory: Family Cemetery
Location: Knott County, Ky.
Date received by local registrar: 01 December 1950
Registrar's Signature: D. A. Furlong
Funeral director and address: H.W.R. Milward, Lexington, Ky.
Transcribed by Debbie Tamborski, 16 February 2010 |
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