Date:    04 September 1946
Cert:    26817 
Place of Death: County: Knott  City or Town: Garrett, Ky., Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.     County:  Knott
City or Town:  Garrett     Rural 
Full Name:  W. M. CHAFFIN 
If Veteran Name War: (blank)
Social Security No.:  (blank)
Sex, Color or Race, Marital Status:  Male, White, Married
Husband or Wife of:  Emalene CHAFFIN
Age of husband or wife if alive: 83 years
Birth date of deceased:  15 January 1850 
Age:  96 years, 07 months, 19 days
Birthplace:   Knott Co., Ky. 
Occupation:  (blank) 
Industry or business:  Farmer
Father Name:  Nelson CHAFFIN 
Father Birthplace:  Knott Co., Ky. 
Mother Maiden Name:   (blank) 
Mother Birthplace:   (blank) 
Informant:  Irland CONLEY, Hindman, Ky.
Burial Place:   Garrett, Ky. 
Date:  05 September 1946 
Signature of funeral director:  W. J. Ryan, Martin, Ky.
Date received by local registrar: 12 December 1946 
Registrar's Signature:  Rose B. Craft
Date of Death:  04 September 1946 
I hereby certify that I attended deceased from (blank) to 02 September 1946, that I last saw him alive on (blank), and that death occurred on the date stated above at 3:30 p.m.
Immediate cause of death:  (blank) 
Duration: (blank)
Due to:  Senility
Other conditions:  Heart & Kidney ailment
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work:  (blank)
Means of injury: (blank)
Signature & Address:  M. M. Collins, M.D., Lackey, Ky.
Date signed:  10 December 1946 
Transcribed by Debbie Tamborski, 04 December 2010