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DEATH
CERTIFICATE
B. L. GAYHEART
Date 17 August 1948
Cert: 19412
Place of Death: County: Perry City or
Town: Hazard
Name of Hospital or Institution: Hurst-Snyder
Length of stay in hospital or community:
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Hindman
Full Name: B. L. GAYHEART
If Veteran Name War: World War I
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of: Sallie GAYHEART
Age of husband or wife if alive: 48 years
Birth date of deceased: 15 February 1894
Age: 54 years, 06 months, 02 days
Birthplace: Floyd County
Occupation: Farmer
Industry or business: (blank)
Father Name: Hood GAYHEART
Father Birthplace: Floyd
Mother Maiden Name: Kate GAYHEART
Mother Birthplace: Knott
Informant: Mrs. Sallie GAYHEART, Hindman, Ky.
Burial Place: Hindman
Date: 19 August 1948
Signature of funeral director: Engle's, Hazard, Ky.
Date received by local registrar: 25 August 1948
Registrar's Signature: Helen Burriss
Date of Death: 17 August 1948
I hereby certify that I attended deceased from 15 August 1948 to
17 August 1948, that I
last saw him alive on 17 August 1948, and that death occurred on the date
stated above at 11:25 a.m.
Immediate cause of death: Shock & Internal Thoracic
hemorrhage from ruptured rt. lung
Due to: Gun shot wound
Major findings of operations: (blank)
Accident, suicide, or homicide: unknown
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature: Paul W. Gutsche, M.D., Hazard, Ky.
Date signed: 24 August 1948
Transcribed by Debbie Tamborski, 14 February 2010 |
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