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 |