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DEATH
CERTIFICATE
L. D. BLANTON
Date 27 June 1940
Cert: 17484
Place of Death: Voting Pct.: Lackey, Knott Co., Ky.
Full Name: L. D. BLANTON
Residence: Nippa
Length of Residence: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: (blank)
Date of Birth: (blank)
Age: 60 years
Occupation: Miner
Birthplace: Johnson Co.
Father Name: Jime Mack BLANTON
Birthplace Father: Johnson
Mother Maiden Name: Sarah
Birthplace Mother: (blank)
Informant/Address: Frank BLANTON, Wayland
Burial Cremation Removal Place: Falcon
Date: 30 June 1940
Undertaker/Address: G. W. Preston, Paints(illegible)
Filed: 19 July 1940
Registrar: Macie Miller
Death of Date: 27 June 1940
I hereby certify, That I attended deceased from 26 June 1940
to 26 June 1940, that I last saw him alive on 26 June 1940,
death is said to have occurred on the date stated above, at
2:50 p.m.
Cause of Death: Cerebral Hemorrhage
Date of onset: (blank)
Contributory causes: Hypertension
Name of operation: (blank)
Accident, suicide, homicide: (blank)
Date of Injury: (blank)
Where did injury occur: (blank)
Specify whether injury occurred industry, home, public place:
Manner of injury: (blank)
Nature of injury: (blank)
Related to occupation: (blank)
Signed/Address: A. Slogman, M.D., Wayland, Ky.
Transcribed by Debbie Tamborski, 16 August 2010 |
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