DEATH CERTIFICATE

WILLIAM BLAIR

Date:  23 May 1953
Cert:  16999 
Place of Death: County: Knott     City or Town: Spider, Ky. (Rural)
Length of stay (in this place): (blank)
Name of Hospital or Institution:  (blank)
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town: Spider Rural     Street Address: (blank)
Full Name:  William BLAIR
Date of Death:  23 May 1953
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth:  25 November 1877
Age:  75 years
Usual Occupation:  (blank)
Kind of Industry or business: Farmer
Birthplace:  Letcher Co., Ky.
Father's Name:  Steve BLAIR
Mother's Maiden Name:  Martha POLLY
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  Willard BLAIR
Disease or condition directly leading to death:  Arteriosclerosis
Interval between onset and death:  (blank)
Due to:  (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy:  (blank)
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from 23 May 1953 to 23 May 1952, that I last saw the deceased alive on (illegible), and that death occurred at 12, from the causes and on the date stated above.
Date signed:  29 May 1953
Address:  Hindman, Ky.
Signature:  J. W. Duke
Burial, Cremation or Removal:  Burial
Date:  25 May 1953
Name of Cemetery or Crematory:  Amburgey Cemetery
Location:  Spider, Ky.
Date received by local registrar: 29 May 1953
Registrar's Signature:  Rose B. Craft
Funeral director & address:  John Everage, Hindman, Ky.
Transcribed by Debbie Tamborski, 05 February 2011