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DEATH
CERTIFICATE
WILLIAM M. BLAIR
Date 08 June 1951
Cert: 12298
Place of Death: County: Jefferson City or Town: Louisville
Length of stay in hospital or community: 25 days
Name of Hospital or Institution: Veterans Administration Hosp.
Usual Residence of Deceased: State: Ky. County: Knott
City or Town: Cody Location: rural
Full Name: William M. BLAIR
Date of Death: 08 June 1951
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth: 14 December 1916
Age: 34 years
Usual Occupation: Barber
Kind of Industry or business: (blank)
Birthplace: Carr Creek, Kentucky
Father's Name: Henry BLAIR
Mother's Maiden Name: Eddie YOUNG
Was deceased in ever in armed forces: Yes, World War II
Social Security No.: 404 07 8384
Informant: VA Hospital Records
Disease or condition directly leading to death:
Generalized Hemorrhage
Interval between onset and death: 01 month
Due to: Myelogenous Leukemia, sub-acute
Interval between onset and death: 03 months
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings for operation: (blank)
Autopsy: Yes
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 VA attended deceased from 14 May 1951 to
08 June 1951, and that death occurred on the date stated above
at 10:25 p.m., from the causes and on the date stated above.
Date signed: 11 June 1951
Address: VAH Louisville, Ky.
Signature: R. R. Kaplan, MD, Chief, Professional
Services
Burial, Cremation or Removal: Removal
Date: 11 June 1951
Name of Cemetery or Creamatory: Family Lot
Location: Carr Creek, Kentucky
Date received by local registrar: (blank)
Registrar's Signature: (blank)
Funeral director and address: W. G. Hardy, 4101 Dixie
Hgwy., W. G. Hardy Funeral Home - Shively, Ky., For: Blair and
Maggard, Hazard, Kentucky
Transcribed by Debbie Tamborski, 17 February 2010 |
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