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DEATH
CERTIFICATE
SAMUEL WATSON EVERIDGE
Date 17 February 1917
Cert: # 20228
Name: Samuel Watson EVERIDGE
Male, White, Child
Age: 04 months, 01 days
Place of Death: Voting Precinct #6 , Knott Co., KY
Birth Date: 16 October 1916
Occupation: (blank)
Place of Birth: Knott Co., Ky.
Name of Father: Nickles EVERIDGE
Birthplace Father: Knott Co., Ky.
Maiden Name of
Mother: Matilda MULLINS
Birthplace Mother: Knott Co., Ky.
Informant: (blank)
Death Date: 17 February 1917
Cause of Death: Cold or grip
Signed: (blank)
Burial Place: E. L. Toliver
Date of Burial: 18 February 1917
Undertaker: (blank)
File Date: (blank)
Transcribed by Debbie Tamborski, 07 November 2008 |
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