Date:    08 July 1947
Cert:    16057 
Place of Death: County: Knott   City or Town: Rural   Anco, Ky. 
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.     County:  Knott 
City or Town:  Rural     Anco 
Full Name:  Gracie EVERAGE RILEY 
If Veteran Name War: (blank)
Social Security No.:  (blank)
Sex, Color or Race, Marital Status:  Female, White, Married
Husband or Wife of:  Hubert RILEY
Age of husband or wife if alive: (blank)
Birth date of deceased:  05 August 1921 
Age:  26 years
Birthplace:  Breathitt Co., Ky. 
Occupation:  Housewife 
Industry or business:  (blank)
Father Name:  Monroe EVERAGE 
Father Birthplace:  Knott Co., Ky. 
Mother Maiden Name:   Cora MCKEE 
Mother Birthplace:   Knott Co., Ky. 
Informant:   G. W. EVERAGE, (illegible), Ky. 
Burial Place:   Watts Cem. 
Date:  10 July 1947 
Signature of funeral director:  Maggard & Blair, Hazard, Ky., by R. E. Cox
Date received by local registrar:  11 July 1947
Registrar's Signature:  Rose B. Craft
Date of Death:  08 July 1947 
I hereby certify that I attended deceased from (blank) to (blank), that I last saw him alive on (blank), and that death occurred on the date stated above at 4:00 p.m.
Immediate cause of death:  Killed by gun shot 
Duration: (blank)
Due to:  (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: Homicide
Date of occurrence: 08 July 1947
Where did injury occur: In home of father Monroe Everage
While at work:  (blank)
Means of injury:  Gun
Signature & Address:  Frazier Adams, J. P. K. C., Sassafras, Ky.
Date signed:  09 July 1947 
Transcribed by Debbie Tamborski, 20 December 2010