Date: 10 March 1941
Cert: 10603
Place of Death: County: Knott Co. City or
Town: Cody, Kentucky
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Cody
Full Name: Elihu BLAIR
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Widowed
Husband or Wife of: Rebecca Jane BLAIR
Age of husband or wife if alive: (blank)
Birth date of deceased: 09 March 1869
Age: 72 years, 02 days
Birthplace: Jeremiah, Kentucky
Occupation: Farming
Industry or business: (blank)
Father Name: P. H. BLAIR
Father Birthplace: Whitesburg, Ky.
Mother Maiden Name: unknown
Mother Birthplace: (blank)
Informant: Harrison BLAIR, Cody, Ky.
Burial Place: Jeremiah
Date: 11 March 1941
Signature of funeral director: Joseph Hagan, Cody, Ky.
Date received by local registrar: 22 April 1941
Registrar's Signature: Macie Miller
Date of Death: 10 March 1941
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 (blank)
Immediate cause of death: Cancer of face
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: J. W. Duke, M.D., Hindman
Date signed: (blank)
Transcribed by Debbie Tamborski, 11 October 2010 |