Date 02 August 1954
Cert: # 16305
Place of Death: County: Knott
City or Town: Hindman
Length of stay in hospital or community: (blank)
Name of Hospital or Institution:
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Hindman
Full Name: Billy Ray Fair
Date of Death: 02 August 1954
Sex, Color or Race, Marital Status: male, white, never married
Date of Birth: 16 May 1947
Age: 07
Usual Occupation: (blank)
Kind of Industry or business: (blank)
Birthplace: Knott Co Ky
Father's Name: Albert Fair
Mother's Maiden Name: Mandie Baker
Was deceased in ever in armed forces: (blank)
Social Security No.: (blank)
Informant: Elbert Fair
Disease or condition directly leading to death: Drowned
Interval between onset and death:
Due to:
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings for operation: (blank)
Accident, suicide, or homicide: Accident
Place of injury: Home
City or Town, County, State: Hindman, Knott Ky
Time of Injury: 02 August 1954
Injury occurred at work: Home
How did injury occur: Diving in the (ground?) of a wash out
cave
I hereby certify that I attended deceased from to (blank),
that I last saw the deceased alive on , and that death
occurred on the date stated above at from the causes and on
the date stated above.
Date signed:
Address:
Signature: John Everage, Coroner
Burial, Cremation or Removal: Burial
Date: 03 august 1954
Name of Cemetery or Crematory: John Gayheart Cemetery
Location: Hindman, KY
Date received by local registrar: 12 august 1954
Registrar's Signature: Myrtle Slone
Funeral director and address: John Everage ~ Hindman, Ky
Transcribed by Gloria Marcum ~ 17 March 2010 |