DEATH CERTIFICATE

ELIOTT DYER

Date:  18 April 1955
Cert:  #9989
Place of Death: County: Knott     City or Town: Hindman - Rural
Length of stay (in this place): (blank)
Name of Hospital or Institution: (blank)
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town: Hindman - Rural     Street Address: (blank)
Full Name:  Eliott DYER
Date of Death:  18 April 1955
Sex, Color or Race, Marital Status: Male, White, Married
Date of Birth:  13 December 1876
Age: 78 years
Usual Occupation: Farmer
Kind of Industry or business: (blank)
Birthplace:  Letcher Co., Ky.
Father's Name:  Green DYER
Mother's Maiden Name:  Claren GAYHEART
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  Mrs. Eliott DYER
Disease or condition directly leading to death:  Disease of the heart and Disease of Kidneys
Interval between onset and death:  (blank)
Due to:  (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: (blank)
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 I attended deceased from 01 April 1955 to 18 April 1955, that I last saw the deceased alive on 16 April 1955, and that death occurred at 6 a.m., from the causes and on the date stated above.
Date signed:  25 April 1955
Address:  Hindman, Ky.
Signature:  M. F. Kelley
Burial, Cremation or Removal: Burial
Date:  20 April 1955
Name of Cemetery or Crematory: Dyer Cemetery
Location:  Hindman, Ky.
Date received by local registrar: 13 May 1955
Registrar's Signature: Myrtle Slone
Funeral director & address:  John Everage, Hindman, Ky.
Transcribed by Debbie Tamborski, 14 May 2011