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DEATH
CERTIFICATE
BURLEY EVERIGE
Date 10 June 1922
Cert: # 20350
Name: Burley EVERIGE
Place of Death: Voting Pct. Irishman (transcriber's note Lower
Carr marked thru), Knott Co., KY
Male, White, Single
Birth Date: 27 June 1915
Age: 06 years, 11 months, 19 days
Occupation: none
Place of Birth: Knott Co., Ky.
Name of Father: Vollie EVERIGE
Birthplace Father: Knott Co., Ky.
Maiden Name of Mother: Hattie MADDIN EVERIGE
Birthplace Mother: Knott Co., Ky.
Informant: (blank)
Death Date: 10 June 1922
Cause of Death: Brights Disease
Signed: F. C. Roark, M.D.
Burial Place: (blank)
Date of Burial: (blank)
Undertaker: (blank)
File Date: (blank)
Transcribed by Debbie Tamborski, 29 December 2008 |
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