Date: 01 January 1952
Cert: 01200
Place of Death: County: Knott
City or Town: Pinetop
Length of stay (in this place): Life
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Pinetop Street Address:
(blank)
Full Name: Arminta BLAIR
Date of Death: 01 January 1952
Sex, Color or Race, Marital Status: Female, White, Married
Date of Birth: (illegible) February 1894
Age: 57 years
Usual Occupation: Housewife
Kind of Industry or business: Home
Birthplace: Ky.
Father's Name: William CAUDILL
Mother's Maiden Name: Sarah HAMPTON
Was deceased ever in armed forces: No
Social Security No.: None
Informant: Henry BLAIR
Disease/condition directly leading to death: Sarcoma of
stomach
Interval between onset and death: 01 year +
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 11 January 1951 to
26 December 1951, that I last saw the deceased alive on 09
December 1951, and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: 04 January 1952
Address: Hindman, Ky.
Signature: D. G. Barker, M.D.
Burial, Cremation or Removal: Burial
Date: 03 January 1952
Name of Cemetery or Crematory: Family Cemetery
Location: Pinetop, Ky.
Date received by local registrar: 18 January 1952
Registrar's Signature: Rose B. Craft
Funeral director & address: Charles L. Hornsby,
Hindman, Ky.
Transcribed by Debbie Tamborski, 22 January 2011 |