DEATH CERTIFICATE

GROVER GAYHEART JR.

Date  10 June 1929
Cert: #  22110
Name:  Grover GAYHEART Jr.
Place of Death: Voting Pct. Leburn, Knott Co., KY
Male, White, Single
Birth Date:  (blank)
Age:  (blank)
Occupation:  (blank) 
Place of Birth:  Knott Co.
Name of Father:  Grover GAYHEART 
Birthplace Father:  Knott Co. 
Maiden Name of Mother:  Herma GAYHEART
Birthplace Mother:  Ky. 
Informant:  (blank)
Death Date:  10 June 1929 
Cause of Death:  (blank)  Duration:  2yrs, 6 mos., 11 days
Signed:  M. F. Kelley, M.D.
Burial Place:  Gayheart Cemetery
Date of Burial:  11 June 1929 
Undertaker:  Grover Gayheart, Leburn, Ky.
File Date:  23 August 1929 
Transcribed by Debbie Tamborski, 04 January 2009