DEATH CERTIFICATE

RAY EVERAGE

Date:    09 January 1948
Cert:    01370 
Place of Death: County: Knott   City or Town:  Carrie
Name of Hospital or Institution: none
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.     County:  Knott
City or Town:  Carrie 
Full Name:  Ray EVERAGE 
If Veteran Name War:  None
Social Security No.:  None
Sex, Color or Race, Marital Status:  Male, White, Single
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:    ?? (transcribed as written)
Age: 24 years
Birthplace:  Tina, Ky. 
Occupation:  None 
Industry or business:  None
Father Name:  B. W. EVERAGE 
Father Birthplace:  Hindman, Ky. 
Mother Maiden Name:  Maggie PERKINS 
Mother Birthplace:   Knott County, Ky. 
Informant:  B. W. EVERAGE, Hindman, Ky. 
Burial Place:   Tina, Ky. 
Date:  11 January 1948 
Signature funeral director: Maggard-Blair & Garrett, Hazard, Ky.
Date received by local registrar:  13 January 1948 
Registrar's Signature:  Rose B. Craft
Date of Death:  09 January 1948 
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 6 a.m.
Immediate cause of death:  (blank)
Duration: (blank)
Due to:  Pulmonary T. B.
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 & Address:  J. W. Duke, M.D., Hindman
Date signed:  13 January 1948 
Transcribed by Debbie Tamborski, 24 December 2010