DEATH CERTIFICATE

MARTHA BLAIR

Date  16 August 1928
Cert: #  20452
Name:  Martha BLAIR
Place of Death: Voting Pct. #2, Knott Co., KY
Female, White
Birth Date:  (blank)
Age: 01 years, 03 months 
Occupation:  (blank)
Place of Birth:  Ky.
Name of Father:  H. H. BLAIR
Birthplace Father:  Ky.
Maiden Name of Mother:  Arminta CAUDILL
Birthplace Mother:  Ky.
Informant:  H. H. BLAIR, Cody, Ky.
Death Date:  16 August 1928
Cause of Death:  Dyrie [sic]
Signed:  (blank)
Burial Place:  Blair Cemetery
Date of Burial:  16 August 1928
Undertaker:  Clarence Wood, Cody 
File Date:  10 September 1928
Transcribed by Debbie Tamborski, 10 December 2008