DEATH CERTIFICATE

MILLARD GAYHEART

Date:  01 September 1952
Cert:  21724 
Place of Death: County: Knott      City or Town:  Rural
Length of stay (in this place):  All of life
Street address or location:  Hindman, Ky.
Usual Residence of Deceased: State: Ky.     County: Knott
City or Town: Rural     Street Address: Hindman, Ky.
Full Name:  Millard GAYHEART
Date of Death:  01 September 1952
Sex, Color or Race, Marital Status:  Male, White, Married
Date of Birth:  28 December 1897
Age:  54 years
Usual Occupation: Barber
Kind of Industry or business: Cutting hair
Birthplace:  Knott Co., Ky.
Father's Name:  unknown 
Mother's Maiden Name:  Kate Gayheart
Was deceased ever in armed forces: (blank)
Social Security No.: (blank)
Informant:  Mrs. Millard GAYHEART
Disease or condition directly leading to death:  Hodkins disease
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 01 January 1952 to 22 August 1952, that I last saw the deceased alive on 01 September 1952, and that death occurred at 01 September 2 p.m., from the causes and on the date stated above.
Date signed:  02 September 1952
Address:  Hindman, Ky.
Signature:  M. F. Kelly
Burial, Cremation or Removal:  Burial
Date:  04 September 1952
Name of Cemetery or Crematory:  Family Cemetery
Location:  Hindman, Ky.
Date received by local registrar:  01 October 1952
Registrar's Signature:  Rose B. Craft
Funeral director & address:  John N. Taul, Hindman, Ky.
Transcribed by Debbie Tamborski, 24 January 2011