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 |