|
DEATH
CERTIFICATE
EDSELL D. EVERIDGE
Date 05 September 1935
Cert: Original #22759 Duplicate
#22709
Place of Death: Voting Pct.: Seco, Letcher Co., Ky.
Full Name: Edsell D. EVERIDGE
Residence: May, Ky. (Knott Co.)
Length of Residence: (blank)
Sex, Color or Race, Marital Status: Male, White, Child
Husband or Wife of: Infant
Date of Birth: 08 February 1934
Age: 01 years, 06 months, 27 days
Occupation: none
Birthplace: Knott Co., Ky.
Father Name: Sidney EVERIDGE
Birthplace Father: Letcher Co.
Mother Maiden Name: Dessie PIGMAN
Birthplace Mother: Knott Co.
Informant/Address: Sidney EVERIDGE
(father), May, Ky., Knott Co.
Burial Cremation Removal Place: Burial - May, Ky.
Date: 07 September 1935
Undertaker/Address: none (family), May, Ky.
Filed: 09 September 1935
Registrar: Nerva B. Howard
Death of Date: 05 September 1935
I hereby certify, That I attended deceased from (blank) to
(blank), that I last saw h-- alive on (blank), death is said
to have occurred on the date stated above, at 4:30 p.m.
Cause of Death: Diphtheria
Date of onset: 01 week ago
Contributory causes: Baby brought from Knott County, Ky. when
seriously ill so as to be close to physician
Name of operation: none Was there an
autopsy: no
Accident, suicide, homicide: (blank)
Date of Injury: (blank)
Where did injury occur: (blank)
Specify whether injury occurred industry, home, public place:
Manner of injury: none
Nature of injury: none
Related to occupation: no
Signed/Address: J. E. Crawford, M.D., Whitesburg, Ky.
Transcribed by Debbie Tamborski, 17 April 2010 |
|