DEATH CERTIFICATE

MONROE EVERAGE

Date:    08 July 1947
Cert:    16058 
Place of Death: County: Knott   City or Town: Rural   Anco, Ky.
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:  Rural     Anco 
Full Name:  Monroe EVERAGE 
If Veteran Name War: (blank)
Social Security No.:  404-24-8497
Sex, Color or Race, Marital Status:  Male, White, Married
Husband or Wife of:  Stella ESTEP EVERAGE
Age of husband or wife if alive: 26 years
Birth date of deceased:  13 May 1898 
Age:  49 years, 01 months, 27days
Birthplace:   Smithboro, Ky.
Occupation:  (blank) 
Industry or business:  (blank)
Father Name:  Sam EVERAGE 
Father Birthplace:  Smithboro, Ky. 
Mother Maiden Name:   Rosana WATTS 
Mother Birthplace:   Smithboro, Ky. 
Informant:   G. W. EVERAGE, Vicco, Ky. 
Burial Place:   Watts Cem. 
Date:  10 July 1947 
Signature of funeral director:  Maggard & Blair, Hazard, Ky., by R. E. Cox
Date received by local registrar:  11 July 1947
Registrar's Signature:  Rose B. Craft
Date of Death:  08 July 1947 
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 4 p.m.
Immediate cause of death:  Killed by gun shot 
Duration: (blank)
Due to:  (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: Homicide
Date of occurrence: 08 July 1947
Where did injury occur: In own home
While at work:  (blank)
Means of injury: gun
Signature & Address: Frazier Adams, J.P.K.C., Sassafras, Ky.
Date signed:  09 July 1947 
Transcribed by Debbie Tamborski, 17 December 2010