Date: 22 March 1949
Cert: 07774
Place of Death: County: Knott
City or Town: Sasassfras
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Sasassfras Street Address:
(blank)
Full Name: Lucinda EVERAGE
Date of Death: 22 March 1949
Sex, Color or Race, Marital Status: Female, White, Widowed
Date of Birth: 08 April 1864
Age: 85 years
Usual Occupation: (blank)
Kind of Industry or business: (blank)
Birthplace: Knott Co., Ky.
Father's Name: Valentine MULLINS
Mother's Maiden Name: Matilda WATTS
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant: McKinley MCINTOSH
Disease or condition directly leading to death: Senility
Interval between onset and death: (blank)
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
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 10 December
1948 to
20 March 1949, that I last saw the deceased alive on 19 March
1949, and
that death occurred at 6 p.m., from the causes and on the
date stated above.
Date signed: 25 March 1949
Address: Allock
Signature: A. B. Pigman, M.D.
Burial, Cremation or Removal: Buried
Date: 24 March 1949
Name of Cemetery or Crematory: Franklin
Location: Knott County, Ky.
Date received by local registrar: 11 April 1949
Registrar's Signature: Rose B. Craft
Funeral director & address: Engle's, Hazard, Ky.
Transcribed by Debbie Tamborski, 04 January 2011 |