Date: 06 December 1945
Cert: 19916
Place of Death: County: Knott City or
Town: Litt Carr Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Litt Carr Rural
Full Name: Thee EVERIDGE
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Allie BAILEY
Age of husband or wife if alive: 65 years
Birth date of deceased: (blank)
Age: 56 years
Birthplace: Knott Co.
Occupation: Farmer - Miner
Industry or business: (blank)
Father Name: Enoch EVERIDGE
Father Birthplace: Kentucky
Mother Maiden Name: Martha Ann CAUDILL
Mother Birthplace: Letcher Co., Ky.
Informant: Family, Litt Carr, Ky.
Burial Place: Toliver Cem.
Date: 08 December 1945
Signature of funeral director: Family, Litt Carr, Ky.
Date received by local registrar: 16 September 1946
Registrar's Signature: Mrs. Rose B. Craft
Date of Death: 06 December 1945
I hereby certify that I attended deceased from 01 June 1945 to
06 December 1945, that I last saw him alive on 06 December
1945, and that death
occurred on the date stated above at 8 p.m.
Immediate cause of death: Tuberculosis of the lungs
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: M. F. Kelley, M.D., Hindman,
Ky.
Date signed: 12 September 1946
Transcribed by Debbie Tamborski, 27 November 2010 |