Date: 31 December 1948
Cert: 27408
Place of Death: County: Knott City or
Town: Pinetop, Ky. Rural
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: Pinetop Rural
Full Name: Jessee BLAIR
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White,
Married
Husband or Wife of: Clarinda CAUDILL
Age of husband or wife if alive: 47 years
Birth date of deceased: 15 June 1885
Age: 63 years, 06 months, 16 days
Birthplace: Hindman, Ky.
Occupation: Farmer & Miner
Industry or business: (blank)
Father Name: Steve BLAIR
Father Birthplace: Letcher Co., Ky.
Mother Maiden Name: Martha POLLY
Mother Birthplace: Letcher Co., Ky.
Informant: Steve BLAIR, Kite, Ky.
Burial Place: Pinetop, Ky.
Date: 02 January 1949
Signature of funeral director: Family, Pinetop, Ky.
Date received by local registrar: 04 January 1949
Registrar's Signature: Rose B. Craft
Date of Death: 31 December 1948
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: Died suddenly
Duration: (blank)
Due to: unknown
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, Ky.
Date signed: 04 January 1949
Transcribed by Debbie Tamborski, 22 December 2010 |