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DEATH
CERTIFICATE
NICK EVERERDGE
Date: 01 June 1945
Cert: 14455
Place of Death: County: Floyd City or Town:
Martin
Hospital or Institution: (illegible) Heart Hospital
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County:
Floyd
City or Town: Martin
Full Name: Nick EVERERDGE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Georgia
Age of husband or wife if alive: 32 years
Birth date of deceased: 17 October
Age: 35 years
Birthplace: Knott County
Occupation: C. & O. R.R.
Industry or business: (blank)
Father Name: Mose EVERERDIGE
Father Birthplace: Ky.
Mother Maiden Name: Emelily JONES
Mother Birthplace: Ky.
Informant: Mrs. Georgia EVERIDGE, Martin
Burial Place: Martin
Date: 03 June 1945
Signature of funeral director: E. P. Arnold, Prestonsburg, Ky.
Date received by local registrar: 02 June 1945
Registrar's Signature: Lucy Ramsdell
Date of Death: 01 June 1945
I hereby certify that I attended deceased from 01 June 1945 to
01 June 1945, that I last saw him alive on 01 June 1945, and
that death occurred on the date stated above at 3:3 [sic] p.m.
Immediate cause of death: Hemorrhage
Duration: (blank)
Due to: Crushed Chest
Other conditions: Fractured back
Accident, suicide, or homicide: Accident
Date of occurrence: 01 June 1945
Where did injury occur: C. & O. R.R.
While at work: Yes
Means of injury: (blank)
Signature & Address: Onis GEARHEART, M.D., Martin,
Ky.
Date signed: 10 June 1945
Transcribed by Debbie Tamborski, 06 June 2010 |
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