DEATH CERTIFICATE

CLARENCE EVRIDGE

Date  22 April 1922
Cert: #  9620
Name:  Clarence EVRIDGE
Place of Death: Voting Pct. #5, Knott Co., KY
Male, White, Single
Birth Date:  19 April 1922
Age:  03 days
Occupation:  non
Place of Birth:  Ky.
Name of Father:  George EVRIDG 
Birthplace Father:  Ky. 
Maiden Name of Mother:  Birthia SMITH
Birthplace Mother:  Ky. 
Informant:  George EVRIGD, Elic, Ky.
Death Date:  22 April 1922
Cause of Death:  abortion 
Signed:  F. G. Kelley, M.D.
Burial Place:  Mait Gayhart 
Date of Burial:  23 April 1922 
Undertaker:  (blank) 
File Date: 
Transcribed by Debbie Tamborski, 29 December 2008