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DEATH
CERTIFICATE
MRS. GREEN GAYHEART
Date 06 July 1935
Cert: 18254
Place of Death: Voting Pct.: No. 30, Hazard Hospital,
Hazard, Perry Co., Ky.
Full Name: Mrs. Green GAYHEART
Residence: Hindman, Ky.
Length of Residence: (blank)
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: Green GAYHEART
Date of Birth: 07 November 1872
Age: 62 years, 07 months, 29 days
Occupation: Housekeeper -- own home
Birthplace: Knott Co., Ky.
Father Name: Dan WILLIAMS
Birthplace Father: Breathitt Co., Ky.
Mother Maiden Name: Julia GAYHEART
Birthplace Mother: Knott Co., Ky.
Informant/Address: Green GAYHEART, Hindman, Ky.
Burial Cremation Removal Place: Hindman, Ky.
Date: 07 July 1935
Undertaker/Address: none
Filed: 20 July 1935
Registrar: J. P. Boggs
Death of Date: 06 July 1935
I hereby certify, That I attended deceased from 04 July 1935 to
06 July 1935, that I last saw her alive on 06 July 1935, death
is said to have occurred on the date stated above, at 3 a.m.
Cause of Death: Peritonitis
Date of onset: (blank)
Contributory causes: Carcinoma of ascending colon
Name of operation: Laparotomy
Date of: 04 July 1935
Was there an autopsy: No
Accident, suicide, homicide: (blank)
Date of Injury: (blank)
Where did injury occur: (blank)
Specify whether injury occurred industry, home, public place:
Manner of injury: (blank)
Nature of injury: (blank)
Related to occupation: No
Signed/Address: J. E. Hagan, M.D., Hazard, Ky.
Transcribed by Debbie Tamborski, 17 April 2010
Transcriber's note: Deceased maiden name Flora Belle Williams |
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