Date:   21 August 1942
Cert:   20631 
Place of Death: County: Knott     City or Town:  Rural
Street No. or Location:  Near Hindman
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town:  (blank)
Full Name:  Dilzie GAYHEART
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Single
Husband or Wife of:  (blank)
Age of husband or wife if alive:  (blank)
Birth date of deceased:  15 March 1910
Age: 32 years, 05 months, 06 days
Birthplace:  Knott Co.
Occupation:  Police Officer
Industry or business: (blank)
Father Name:  Green GAYHEART
Father Birthplace:  Knott Co.
Mother Maiden Name:  Flora WILLIAMS
Mother Birthplace:  Knott Co.
Informant:  Green GAYHEART, Hindman, Ky.
Burial Place:  Hindman
Date:  23 August 1942
Signature of funeral director: Engle Und. & Hdwe. Co., Hazard, Ky.
Date received by local registrar:  03 September 1942
Registrar's Signature:  Ida Livingston
Date of Death:  21 August 1942
I hereby certify that I attended deceased from Dead to on arrival, that I last saw him alive on (blank), and that death occurred on the date stated above at (blank)
Immediate cause of death:  Gunshot wound
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: Homicide
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:  26 August 1942
Transcribed by Debbie Tamborski, 17 October 2010