DEATH CERTIFICATE

GROVER GAYHEART JR.

Date  30 July 1933
Cert: #  19409 
Name:  Grover GAYHEART Jr. 
Place of Death: Voting Pct. , Knott Co., KY
Residence:  (blank)
Male, White, Single
Husband or Wife of:  (blank)
Birth Date:  30 July 1933
Age: 06 hours
Occupation:  None
Place of Birth: Knott Co.
Name of Father:  Grover GAYHEART
Birthplace Father:  Leburn, Ky.
Maiden Name of Mother:  Bertha GAYHEART
Birthplace Mother:  Leburn, Ky.
Informant:  Grover GAYHEART, Leburn, Ky.
Death Date:  30 July 1933
Cause of Death:  The cause of death not known
Signed: Phoebe Slone, Leburn, Ky.
Burial Place:  Gayheart Cemetery
Date of Burial:  (blank)
Undertaker:  Grover Gayheart
File Date:  22 August 1933
Transcribed by Debbie Tamborski, 10 July 2009