DEATH CERTIFICATE

LAIN GAYHEART

Date:   15 October 1956
Cert: # 56-21314
Place of Death: County: Knott      City or Town:  Rural
Length of stay (in this place): All of life
Street Address or Location:  Softshell, Ky.
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town:  Rural          Residence on a Farm?:   Yes
Street Address: Softshell, Ky. Residence inside City Limits?: No
Full Name:    Lain GAYHEART
Date of Death:  15 October 1956 
Sex, Color or Race, Marital Status: Female, White, Married
Date of Birth:   22 October 1875
Age:  80 years
Usual Occupation:  Housewife
Kind of Industry or business: Wife
Birthplace:   Knott Co., Ky.
Father's Name:  Elijah COMBS 
Mother's Maiden Name:    Sisses MOORE
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:    Mrs. Bee BOLEN
Disease/condition directly leading to death: Carcinoma of rectum
Interval between onset and death:  01 year
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy:  (blank)
Accident, suicide, or homicide: (blank)
Describe how injury occurred:  (blank)
Time of injury:  (blank)
Injury occurred at work: (blank)
Place of injury: (blank)
City, Town or Location, County, State: (blank)
I hereby certify that I attended deceased from 19 March 1956 to 01 October 1956, that I last saw the deceased alive on 01 October 1956, and that death occurred at ? (transcribed as written, from the causes and on the date stated above.
Date signed:   20 October 1956
Address:  Ary, Ky. 
Signature:   K. W. Cameron, M.D.
Burial, Cremation or Removal: Burial
Date:   17 October 1956
Name of Cemetery or Crematory:   Gayheart Cemetery
Location:   Softshell, Ky.
Date received by local registrar:   20 October 1956
Registrar's Signature: Myrtle Slone
Funeral director & address:  Eastin Richey, Mt. Sterling, Ky., John N. Taul 
Transcribed by Debbie Tamborski, 25 April 2012