DEATH CERTIFICATE

BEN FAIR

Date:  06 June 1954
Cert:  26522 
Place of Death: County: Knott      City or Town: Lackey - Rural
Length of stay (in this place): 26 hours
Name of Hospital or Institution:  Stumbo Memorial Hosp.
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town:  Hindman - Rural   If rural give location: (blank)
Full Name:  Ben FAIR 
Date of Death:  06 June 1954 
Sex, Color or Race, Marital Status: Male, White, Never Married
Date of Birth:  05 February 1925 
Age:  29 years
Usual Occupation:  Laborer
Kind of Industry or business: Various
Birthplace:  Ky. 
Father's Name:  Bud FAIR 
Mother's Maiden Name:  Ruth LAWSON 
Was deceased ever in armed forces: No
Social Security No.:  404-28-6451
Informant:  (blank) 
Disease or condition directly leading to death: Intracranial hemorrhage
Interval between onset and death: 24 hours
Due to (b):  Skull fracture
Due to (c):  Auto accident
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: Accident
Place of injury:  Highway
City or Town, County, State: Hindman, Knott, Ky.
Time of Injury: 05 June 1954, 11 a.m.
Injury occurred at work: Not while at work
How did injury occur: Automobile Accident
I hereby certify that I attended deceased from 06 June 1954 to 06 June 1954, that I last saw the deceased alive on 06 June 1954, and that death occurred at 3:00 p.m., from the causes and on the date stated above.
Date signed:  18 June 1954
Address:  Stumbo Memorial Hosp., Lackey, Ky.
Signature:  Charles L. Roach, M.D.
Burial, Cremation or Removal: Burial
Date:  08 June 1954
Name of Cemetery or Crematory: Gayhart Cemetery
Location:  Hindman, Ky.
Date received by local registrar: 24 February 1955
Registrar's Signature: Myrtle Slone
Funeral director & address:  John N. Taul, Hindman Funeral Home, Hindman, Ky.
Transcribed by Debbie Tamborski, 24 February 2011