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 |