DEATH CERTIFICATE

SUSSAN EVERIDGE

Date  20 October 1924
Cert: #  28100 
Name:  Sussan EVERIDGE
Place of Death: Voting Pct. #1 Brinkley, Knott Co., KY
Female, White, Single
Birth Date:  10 May 1901
Age:  23 years, 05 months, 10 days
Occupation:  School Girl
Place of Birth:  Knott Co., Ky.
Name of Father:  Niclos EVERIDGE
Birthplace Father:  Knott Co., Ky. 
Maiden Name of Mother:  Lizzie MULLENS
Birthplace Mother:  Knott Co., Ky. 
Informant:  (blank)
Death Date:  20 October 1924 
Cause of Death:  Tuberculosis of the lungs 
Signed:  M. F. Kelley, M.D.
Burial Place:  Toliver Cemetery 
Date of Burial:  21 October 1924 
Undertaker:  Nicolis Everidge, Brinkley, Ky. 
File Date:  11 December 1924 
Transcribed by Debbie Tamborski, 29 December 2008