DEATH CERTIFICATE

CARLAS BLAIR

Date  21 October 1923
Cert: #  26244
Name:  Carlas BLAIR
Place of Death: Voting Pct. #6, Knott Co., KY
Male, White
Birth Date:  21 December 1922
Age:  10 months
Occupation:  (blank)
Place of Birth:  Knott Co.
Name of Father:  John BLAIR
Birthplace Father:  Knott Co.
Maiden Name of Mother:  Minta FRANCIS
Birthplace Mother:  Knott Co.
Informant:  Marion BLAIR, Smithsboro
Death Date:  21 October 1923
Cause of Death:  Croup
Signed:  F. C. Roark, M.D.
Burial Place:  G. W. Kelley
Date of Burial:  23 October 1923
Undertaker:  John Blair 
File Date:  02 November 1923
Transcribed by Debbie Tamborski, 10 December 2008