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DEATH
CERTIFICATE
ALEX GAYHEART
Date 20 September 1947
Cert: 25194
Place of Death: County: Perry City or Town: Hazard
Name of Hospital or Institution: Mt. Mary
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County: Knott
City or Town: Hindman
Full Name: Alex GAYHEART
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: (blank)
Age of husband or wife if alive: (blank)
Birth date of deceased: 01 September 1888
Age: 69 years, 00 months, 19 days
Birthplace: Knott County, Ky.
Occupation: Stone Mason
Industry or business: (blank)
Father Name: Wm. GAYHEART
Father Birthplace: Knott
Mother Maiden Name: Caroline PATTON
Mother Birthplace: Knott
Informant: Louisa GAYHEART, Hindman, Ky.
Burial Place: Hindman
Date: 21 September 1947
Signature of funeral director: Engle's, Hazard, Ky.
Date received by local registrar: 01 October 1947
Registrar's Signature: Cleata D. Cox
Date of Death: 20 September 1947
I hereby certify that I attended deceased from 19 September
1947 to 20 September 1947, that I last saw him alive on 20
September 1947, and that death occurred on the date stated
above at 2:00 a.m.
Immediate cause of death: Cerebral Edema
Duration: 09 hrs.
Due to: Fractured skull and concussion, fracture rt. femur
Other conditions: Multiple contusions severe, and abrasions
Major findings of operations: (blank)
Accident, suicide, or homicide: accident, auto
Date of occurrence: 19 September 1947
Where did injury occur: public highway
While at work: yes
Means of injury: (blank)
Signature: O. D. Sparks, Jr., M.D., Hazard, Ky.
Date signed: 20 September 1947
Transcribed by Debbie Tamborski, 12 February 2010 |
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