Date: 15 June 1947
Cert: 16054
Place of Death: County: Knott
City or
Town: Hindman, Ky. Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Hindman Rural
Full Name: Mrs. Caroline GAYHEART
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White, Widow
Husband or Wife of: William GAYHEART
Age of husband or wife if alive: Deceased
Birth date of deceased: 17 April 1847
Age: 100 years, 01 months, 28 days
Birthplace: Floyd Co., Ky.
Occupation: Housewife - until too old to work
Industry or business: (blank)
Father Name: David PATTON
Father Birthplace: Floyd Co.
Mother Maiden Name: Rebecca PRATER
Mother Birthplace: Floyd Co.
Informant: Alex GAYHEART, Hindman, Ky.
Burial Place: Hindman
Rural
Date: 17 June 1947
Signature of funeral director: Friends, Hindman, Ky.
Date received by local registrar: 22 July 1947
Registrar's Signature: Rose B. Craft
Date of Death: 15 June 1947
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw him alive on (blank), and that death
occurred on the date stated above at (blank)
Immediate cause of death: Disease of heart and senility
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: 30 June 1947
Transcribed by Debbie Tamborski, 17 December 2010 |