Date: 28 March 1947
Cert: 29174
Place of Death: County: Knott City or
Town: Red Fox, 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: Red Fox Rural
Full Name: Marion BLAIR
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White,
Married
Husband or Wife of: Gertrude JENT
Age of husband or wife if alive: 39 years
Birth date of deceased: 30 May 1891
Age: 55 years, 09 months, 28 days
Birthplace: Jeremiah, Ky.
Occupation: Farming
Industry or business: (blank)
Father Name: Alamander BLAIR
Father Birthplace: Cody, Ky.
Mother Maiden Name: Betty BACK
Mother Birthplace: Jeremiah, Ky.
Informant: Gertrude BLAIR, Red Fox, Ky.
Burial Place: Cody, Ky.
Date: 30 March 1947
Signature of funeral director: Friends, Red Fox, Ky.
Date received by local registrar: 24 November 1948
Registrar's Signature: Rose B. Craft
Date of Death: 28 March 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 7 a.m.
Immediate cause of death: Heart disease of long standing
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: (illegible) November 1948
Transcribed by Debbie Tamborski, 16 December 2010 |