DEATH CERTIFICATE

 LEWIS GAYHEART

Date:   21 February 1942
Cert:   09531
Place of Death: County: Knott     City or Town: Softshell
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky.      County: Knott
City or Town:  Softshell
Full Name:  Lewis GAYHEART
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Male, White, Married
Husband or Wife of:  Nealy GAYHEART
Age of husband or wife if alive:  36 years
Birth date of deceased:  20 March 1900
Age: 41 years, 09 months, 01 days
Birthplace:  Knott Co., Ky.
Occupation:  Merchant
Industry or business: (blank)
Father Name:  Lee GAYHEART
Father Birthplace:  Knott Co., Ky.
Mother Maiden Name:  Lain COMBS
Mother Birthplace:  Knott Co., Ky.
Informant:  Essie GAYHEART, Soft Shell, KY.
Burial Place:  Wiley Fork
Date:  22 February 1942
Signature of funeral director: E. H. Howard, Lackey, Ky.
Date received by local registrar:  21 April 1942
Registrar's Signature:  Ida Livingston
Date of Death:  21 February 1942
I hereby certify that I attended deceased from (blank) to (blank), that I last saw him alive on (blank), and that death occurred on the date stated above at (blank)
Immediate cause of death:  Heart attack
Duration: (blank)
Due to: Unknown cause, fell dead while at work, probably overwork
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: J. W. Duke, M.D., Hindman, Ky.
Date signed:  21 April 1942
Transcribed by Debbie Tamborski, 17 October 2010