DEATH CERTIFICATE

TOM GAYHART (GAYHEART)

Date:    14 March 1945
Cert:    06259 
Place of Death: County: Knott   City or Town:  Garner
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:  Garner 
Full Name:  Tom GAYHART (GAYHEART) 
If Veteran Name War: (blank)
Social Security No.:  (blank)
Sex, Color or Race, Marital Status:  Male, White, Widow
Husband or Wife of:  (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased:   21 April 1871
Age:  73 years,10 months, 23 days
Birthplace:  Knott Co., Ky. 
Occupation:  Farmer 
Industry or business:  (blank)
Father Name:  Richard GAYHEART 
Father Birthplace:  Knott Co., Ky. 
Mother Maiden Name:   Rebecca HIGGINS 
Mother Birthplace:   Floyd Co., Ky. 
Informant:   Mollie ADAMS, Garner, Ky. 
Burial Place:   Garner Cem. 
Date:   15 March 1945 
Signature of funeral director:  Maggard, Hazard, Ky.
Date received by local registrar:  16 March 1945 
Registrar's Signature: Rose B. Craft
Date of Death:  14 March 1945 
I hereby certify that I attended deceased from March 1945 to 14 March 1945, that I last saw him alive on 13 March 1945, and that death occurred on the date stated above at 4 a.m.
Immediate cause of death: Disease of the Kidneys acute nephritis 
Duration: (blank)
Due to:  (blank)
Major findings of operations: (blank)
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. F. Kelley, M.D., Hindman, Ky.
Date signed:  16 March 1945 
Transcribed by Debbie Tamborski, 27 November 2010