DEATH CERTIFICATE

ALLIE EVERIDGE

Date:  28 May 1952
Cert:  10450 
Place of Death: County: Knott      City or Town: Lackey
Length of stay (in this place): 02 weeks
Name of Hospital or Institution:  Stumbo Hospital
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town: Rural     If rural give precinct:  Littcarr, Ky.
Full Name:  Allie EVERIDGE
Date of Death:  28 May 1952
Sex, Color or Race, Marital Status: Female, White, Widowed
Date of Birth:  28 May 1884
Age:  68 years
Usual Occupation: Housewife
Kind of Industry or business: Keeping House
Birthplace:  Knott Co., Ky.
Father's Name:  Robb BATES
Mother's Maiden Name:  unknown
Was deceased ever in armed forces: (blank)
Social Security No.: None
Informant:  Mascie EVERAGE
Disease or condition directly leading to death:  Metastasis of Cancer to Lungs
Due to:  Cancer of thyroid gland
Interval between onset and death:  01 year
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy:  (blank)
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 17 May 1952 to 28 May 1952, that I last saw the deceased alive on 28 May 1952, and that death occurred at 1:30 p.m., from the causes and on the date stated above.
Date signed:  29 May 1952
Address:  Lackey, Ky.
Signature:  C. M. Aker, M.D.
Burial, Cremation or Removal:  Burial
Date:  30 May 1952
Name of Cemetery or Crematory:  Tolliver Cemetery
Location:  Littcarr, Ky.
Date received by local registrar: 31 May 1952
Registrar's Signature:  Rose B. Craft
Funeral director & address:  Hindman Funeral Home, John N. Taul, Hindman, Ky.
Transcribed by Debbie Tamborski, 24 January 2011