Date: 11 July 1952
Cert: 17277
Place of Death: County: Knott
City or Town: Rural
Length of stay (in this place): All of life
Street address or location: Tina, Ky.
Usual Residence of Deceased: State: Ky.
County: Knott
City or Town: Rural If rural give
precinct: Tina, Ky.
Full Name: Launa GAYHEART
Date of Death: 11 July 1952
Sex, Color or Race, Marital Status: Female, White, Married
Date of Birth: 06 September 1897
Age: 56 years
Usual Occupation: Housewife
Kind of Industry or business: Keeping house
Birthplace: Knott Co., Ky.
Father's Name: Newt ALLEN
Mother's Maiden Name: Martha EVERIDGE
Was deceased ever in armed forces: No
Social Security No.: (blank)
Informant: W. F. GAYHEART
Disease or condition directly leading to death: Heart failure
Interval between onset and death: (blank)
Due to: (blank)
Other significant conditions: (blank)
Date of Operation: (blank)
Major findings of operation: (blank)
Autopsy: No
Accident, suicide, or homicide: (blank)
Place of injury: (blank)
City or Town, County, State: (blank)
Time of Injury: (blank)
Injury occurred at work: (blank)
How did injury occur: (blank)
I hereby certify that I attended deceased from (blank) to
(blank), that I last saw the deceased alive on (blank), and
that death occurred at (blank), from the causes and on the
date stated above.
Date signed: 01 August 1952
Address: Hindman, Ky.
Signature: M. F. Kelley, M.D.
Burial, Cremation or Removal: Burial
Date: 13 July 1952
Name of Cemetery or Crematory: Gayheart Cemetery
Location: Tina, Knott Co., Ky.
Date received by local registrar: 10 August 1952
Registrar's Signature: Rose B. Craft
Funeral director/address: Hindman Funeral Home, Hindman, Ky.
Transcribed by Debbie Tamborski, 24 January 2011 |