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 |