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DEATH
CERTIFICATE
JAMES MONROE BLAIR
Date: 24 October 1947
Cert: 23746
Place of Death: County: Clay City or Town:
Garrard
Street No. or Location: (blank)
Length of stay in hospital or community: 30 years
Usual Residence of Deceased: State: Kentucky County:
Clay
City or Town: Garrard
Full Name: James Monroe BLAIR
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Matilda BLAIR
Age of husband or wife if alive: 64 years
Birth date of deceased: 11 December 1881
Age: 65 years, 10 months, 13 days
Birthplace: Pine Top, Ky.
Occupation: Farmer
Industry or business: (blank)
Father Name: Stephen R. BLAIR
Father Birthplace: Virginia
Mother Maiden Name: Martha POLLY
Mother Birthplace: Knott Co., Ky.
Informant: Lindsay D. BLAIR, Cincinnati, Ohio
Burial Place: Garrard, Ky.
Date: 26 October 1947
Signature of funeral director: C. Fred Rominger, Manchester,
Ky.
Date received by local registrar: 28 October 1947
Registrar's Signature: Ann H. Lucas
Date of Death: 24 October 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 8:30 p.m.
Immediate cause of death: Coronary Thrombosis
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: D. D. Turner, M.D., Manchester
Date signed: 01 December 1947
Transcribed by Debbie Tamborski, 22 June 2010 |
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