DEATH CERTIFICATE

BETTIE BLAIR

Date 04 January 1928
Cert: # 10299
Name: Bettie BLAIR
Place of Death: Voting Pct. #6, Knott Co., KY
Female, White, Married
Husband or Wife of:  Bud BLAIR
Birth Date:  18 October 1861
Age: 66 years, 02 months, 16 days
Occupation:  Housewife
Place of Birth: Knott Co., Ky.
Name of Father:  Lewis BACK
Birthplace Father:  Knott Co., Ky.
Maiden Name of Mother:  Winie SUMNER
Birthplace Mother:  Knott Co., Ky.
Informant:  Henry BLAIR, Sassafras, Ky.
Death Date: 04 January 1928
Cause of Death:  Don't know   Pneumonia
Signed:  No physician
Burial Place:  Bud Blair
Date of Burial:  05 January 1928
Undertaker:  (blank)
File Date:  28 January 1928
Transcribed by Debbie Tamborski, 10 December 2008